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#3617 of 11K

01830

HCPCS Procedure Code

HCPCS code 01830 is the #3,617 most-billed Medicaid procedure code, with $1.4M in payments across 22K claims from 2018–2024. The national median cost per claim is $61.54. Costs vary widely — the 90th percentile is $202.27 per claim, 3.3× the median.

Total Paid

$1.4M

0.00% of all spending

Total Claims

22K

Providers

81

Avg Cost/Claim

$64

National Cost Distribution

How much do providers bill per claim for 01830? Based on 69 providers billing this code nationally.

Median

$61.54

Average

$87.44

Std Dev

$71.51

Max

$302.16

Percentile Distribution (Cost per Claim)

p10
$32.90
p25
$44.20
Median
$61.54
p75
$110.64
p90
$202.27
p95
$252.40
p99
$283.30

50% of providers bill between $44.20 and $110.64 per claim for this code.

90% bill between $32.90 and $202.27.

Top 1% bill above $283.30.

About This Procedure

HCPCS code 01830 was billed by 81 providers across 22K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$61.54

Providers Billing

69

National Spending

$1.4M

Avg/Median Ratio

1.42×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 01830

#ProviderTotal Paid
11053354233$143K
21225016926$142K
31871986372$137K
41497797153$122K
51407821796$121K
61558391763$112K
71972126209$95K
81558314427$74K
91346267267$57K
101790785095$47K
111669581997$40K
121487609475$38K
131417994872$34K
141851485759$29K
151114378981$25K
161538105010$21K
171093767766$20K
181477582526$19K
191922031442$16K
201023139656$14K

Showing top 20 of 81 providers billing this code

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