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#7228 of 11K

00930

HCPCS Procedure Code

HCPCS code 00930 is the #7,228 most-billed Medicaid procedure code, with $24K in payments across 420 claims from 2018–2024. The national median cost per claim is $50.04. Costs vary widely — the 90th percentile is $123.15 per claim, 2.5× the median.

Total Paid

$24K

0.00% of all spending

Total Claims

420

Providers

7

Avg Cost/Claim

$57

National Cost Distribution

How much do providers bill per claim for 00930? Based on 6 providers billing this code nationally.

Median

$50.04

Average

$63.02

Std Dev

$55.98

Max

$164.66

Percentile Distribution (Cost per Claim)

p10
$15.88
p25
$31.20
Median
$50.04
p75
$74.37
p90
$123.15
p95
$143.90
p99
$160.51

50% of providers bill between $31.20 and $74.37 per claim for this code.

90% bill between $15.88 and $123.15.

Top 1% bill above $160.51.

About This Procedure

HCPCS code 00930 was billed by 7 providers across 420 claims, totaling $24K in Medicaid payments from 2018–2024. This code was used for 361 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$50.04

Providers Billing

6

National Spending

$24K

Avg/Median Ratio

1.26×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 00930

#ProviderTotal Paid
11558588871$10K
21427093863$9K
31225016926$3K
4Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$784
51457666828$570
6Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$490
7Orlando Health Inc.

Orlando, FL · General Acute Care Hospital

$0

Showing top 7 of 7 providers billing this code