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#5689 of 11K

0302

HCPCS Procedure Code

HCPCS code 0302 is the #5,689 most-billed Medicaid procedure code, with $153K in payments across 64K claims from 2018–2024. The national median cost per claim is $0.85. Costs vary widely — the 90th percentile is $8.72 per claim, 10.3× the median.

Total Paid

$153K

0.00% of all spending

Total Claims

64K

Providers

142

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for 0302? Based on 69 providers billing this code nationally.

Median

$0.85

Average

$4.04

Std Dev

$10.96

Max

$81.30

Percentile Distribution (Cost per Claim)

p10
$0.02
p25
$0.09
Median
$0.85
p75
$2.94
p90
$8.72
p95
$13.52
p99
$50.67

50% of providers bill between $0.09 and $2.94 per claim for this code.

90% bill between $0.02 and $8.72.

Top 1% bill above $50.67.

About This Procedure

HCPCS code 0302 was billed by 142 providers across 64K claims, totaling $153K in Medicaid payments from 2018–2024. This code was used for 49K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.85

Providers Billing

69

National Spending

$153K

Avg/Median Ratio

4.75×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0302

#ProviderTotal Paid
11639523004$51K
21710065933$42K
31194711952$19K
41760510937$16K
51902803315$3K
61578529285$3K
71902869035$3K
8Kaiser Foundation Health Plan Inc

Oakland, CA · Health Maintenance Organization

$2K
91881760452$2K
101962461418$1K
111720041908$1K
121144295163$1K
131649541954$855
141184004137$821
151801366711$784
161760624092$768
17Regents Of The University Of California

Sacramento, CA · General Acute Care Hospital

$587
181811080526$382
191821250762$329
201639132772$316

Showing top 20 of 142 providers billing this code