#2374 of 11K

00300

HCPCS Procedure Code

HCPCS code 00300 is the #2,374 most-billed Medicaid procedure code, with $6.3M in payments across 81K claims from 2018–2024. The national median cost per claim is $66.59. Costs vary widely — the 90th percentile is $229.89 per claim, 3.5× the median.

Total Paid

$6.3M

0.00% of all spending

Total Claims

81K

Providers

166

Avg Cost/Claim

$77

National Cost Distribution

How much do providers bill per claim for 00300? Based on 157 providers billing this code nationally.

Median

$66.59

Average

$98.36

Std Dev

$86.30

Max

$400.72

Percentile Distribution (Cost per Claim)

p10

$9.28

p25

$45.05

Median

$66.59

p75

$137.09

p90

$229.89

p95

$274.16

p99

$380.21

50% of providers bill between $45.05 and $137.09 per claim for this code.

90% bill between $9.28 and $229.89.

Top 1% bill above $380.21.

About This Procedure

HCPCS code 00300 was billed by 166 providers across 81K claims, totaling $6.3M in Medicaid payments from 2018–2024. This code was used for 64K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$66.59

Providers Billing

157

National Spending

$6.3M

Avg/Median Ratio

1.48×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 00300

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1053354233	$663K	$320.82	4.8× median	Top 10%
2	The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities	$484K	$339.02	5.1× median	Top 10%
3	1558314427	$394K	$110.55	1.7× median	Above Median
4	1346267267	$380K	$131.03	2.0× median	Above Median
5	1093767766	$289K	$79.58	1.2× median	Above Median
6	1225016926	$259K	$66.83	1.0× median	Above Median
7	1871986372	$255K	$64.61	1.0× median	Below Median
8	1689816365	$228K	$53.69	0.8× median	Below Median
9	1427093863	$226K	$69.46	1.0× median	Above Median
10	1972126209	$221K	$53.85	0.8× median	Below Median
11	1336528926	$142K	$43.84	0.7× median	Below Median
12	West Virginia University Medical Corporation Morgantown, WV · Anesthesiology	$142K	$137.09	2.1× median	Above Median
13	1528010428	$139K	$57.62	0.9× median	Below Median
14	1386051365	$134K	$70.15	1.1× median	Above Median
15	1053366377	$115K	$82.64	1.2× median	Above Median
16	1417965799	$115K	$245.75	3.7× median	Top 10%
17	1669581997	$110K	$49.37	0.7× median	Below Median
18	1417994872	$105K	$61.91	0.9× median	Below Median
19	1497797153	$100K	$49.64	0.7× median	Below Median
20	1407821796	$100K	$61.73	0.9× median	Below Median

Showing top 20 of 166 providers billing this code

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