01630
HCPCS Procedure Code
HCPCS code 01630 is the #4,117 most-billed Medicaid procedure code, with $833K in payments across 11K claims from 2018–2024. The national median cost per claim is $81.30. Costs vary widely — the 90th percentile is $173.15 per claim, 2.1× the median.
Total Paid
$833K
0.00% of all spending
Total Claims
11K
Providers
34
Avg Cost/Claim
$77
National Cost Distribution
How much do providers bill per claim for 01630? Based on 30 providers billing this code nationally.
Median
$81.30
Average
$107.17
Std Dev
$72.23
Max
$336.74
Percentile Distribution (Cost per Claim)
50% of providers bill between $63.79 and $119.68 per claim for this code.
90% bill between $51.50 and $173.15.
Top 1% bill above $322.98.
About This Procedure
HCPCS code 01630 was billed by 34 providers across 11K claims, totaling $833K in Medicaid payments from 2018–2024. This code was used for 7,495 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$81.30
Providers Billing
30
National Spending
$833K
Avg/Median Ratio
1.32×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 01630
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1972126209 | $124K |
| 2 | 1225016926 | $90K |
| 3 | 1407821796 | $82K |
| 4 | 1871986372 | $72K |
| 5 | 1558391763 | $71K |
| 6 | 1497797153 | $69K |
| 7 | 1487609475 | $52K |
| 8 | 1558314427 | $38K |
| 9 | 1144626714 | $37K |
| 10 | 1417994872 | $37K |
| 11 | 1669581997 | $30K |
| 12 | 1245708403 | $23K |
| 13 | 1922031442 | $21K |
| 14 | 1114378981 | $14K |
| 15 | William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease | $12K |
| 16 | 1831536531 | $12K |
| 17 | 1174581185 | $10K |
| 18 | 1639110406 | $6K |
| 19 | 1053366377 | $6K |
| 20 | 1053354233 | $4K |
Showing top 20 of 34 providers billing this code