00320
HCPCS Procedure Code
HCPCS code 00320 is the #2,977 most-billed Medicaid procedure code, with $2.9M in payments across 28K claims from 2018–2024. The national median cost per claim is $80.46. Costs vary widely — the 90th percentile is $283.81 per claim, 3.5× the median.
Total Paid
$2.9M
0.00% of all spending
Total Claims
28K
Providers
80
Avg Cost/Claim
$102
National Cost Distribution
How much do providers bill per claim for 00320? Based on 75 providers billing this code nationally.
Median
$80.46
Average
$124.25
Std Dev
$122.81
Max
$668.97
Percentile Distribution (Cost per Claim)
50% of providers bill between $53.65 and $172.81 per claim for this code.
90% bill between $5.90 and $283.81.
Top 1% bill above $518.19.
About This Procedure
HCPCS code 00320 was billed by 80 providers across 28K claims, totaling $2.9M in Medicaid payments from 2018–2024. This code was used for 22K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$80.46
Providers Billing
75
National Spending
$2.9M
Avg/Median Ratio
1.54×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 00320
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1093767766 | $430K |
| 2 | 1871986372 | $347K |
| 3 | Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital | $239K |
| 4 | 1225016926 | $217K |
| 5 | West Virginia University Medical Corporation Morgantown, WV · Anesthesiology | $212K |
| 6 | 1972126209 | $195K |
| 7 | 1558391763 | $116K |
| 8 | 1528010428 | $110K |
| 9 | 1346267267 | $98K |
| 10 | 1487609475 | $74K |
| 11 | 1053354233 | $74K |
| 12 | 1427093863 | $70K |
| 13 | 1720087802 | $62K |
| 14 | 1669581997 | $48K |
| 15 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $43K |
| 16 | 1003989690 | $40K |
| 17 | 1497797153 | $38K |
| 18 | William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease | $34K |
| 19 | 1487602546 | $33K |
| 20 | 1417994872 | $25K |
Showing top 20 of 80 providers billing this code