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#5897 of 11K

00830

HCPCS Procedure Code

HCPCS code 00830 is the #5,897 most-billed Medicaid procedure code, with $122K in payments across 2K claims from 2018–2024. The national median cost per claim is $55.94. Costs vary widely — the 90th percentile is $113.89 per claim, 2.0× the median.

Total Paid

$122K

0.00% of all spending

Total Claims

2K

Providers

17

Avg Cost/Claim

$69

National Cost Distribution

How much do providers bill per claim for 00830? Based on 16 providers billing this code nationally.

Median

$55.94

Average

$74.07

Std Dev

$57.31

Max

$263.22

Percentile Distribution (Cost per Claim)

p10
$38.80
p25
$51.96
Median
$55.94
p75
$75.07
p90
$113.89
p95
$156.89
p99
$241.96

50% of providers bill between $51.96 and $75.07 per claim for this code.

90% bill between $38.80 and $113.89.

Top 1% bill above $241.96.

About This Procedure

HCPCS code 00830 was billed by 17 providers across 2K claims, totaling $122K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$55.94

Providers Billing

16

National Spending

$122K

Avg/Median Ratio

1.32×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 00830

#ProviderTotal Paid
11053354233$24K
21669581997$22K
31225016926$18K
41972126209$13K
51558314427$10K
61487609475$9K
71427093863$8K
81497797153$4K
91407821796$4K
101720536097$3K
111871986372$3K
121346267267$2K
13William Beaumont Hospital

Royal Oak, MI · Internal Medicine, Cardiovascular Disease

$1K
141295776052$794
151861579542$339
16Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$282
171477505022$0

Showing top 17 of 17 providers billing this code