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#4176 of 11K

0320

HCPCS Procedure Code

HCPCS code 0320 is the #4,176 most-billed Medicaid procedure code, with $782K in payments across 78K claims from 2018–2024. The national median cost per claim is $11.48. Costs vary widely — the 90th percentile is $70.11 per claim, 6.1× the median.

Total Paid

$782K

0.00% of all spending

Total Claims

78K

Providers

136

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for 0320? Based on 82 providers billing this code nationally.

Median

$11.48

Average

$24.73

Std Dev

$38.41

Max

$275.61

Percentile Distribution (Cost per Claim)

p10
$0.63
p25
$2.81
Median
$11.48
p75
$31.90
p90
$70.11
p95
$77.99
p99
$155.93

50% of providers bill between $2.81 and $31.90 per claim for this code.

90% bill between $0.63 and $70.11.

Top 1% bill above $155.93.

About This Procedure

HCPCS code 0320 was billed by 136 providers across 78K claims, totaling $782K in Medicaid payments from 2018–2024. This code was used for 69K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.48

Providers Billing

82

National Spending

$782K

Avg/Median Ratio

2.15×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0320

#ProviderTotal Paid
11194711952$165K
21396778197$129K
31710065933$110K
41760510937$48K
51043215379$37K
6Palomar Health

Escondido, CA · General Acute Care Hospital

$35K
7University Of California Irvine

Orange, CA · General Acute Care Hospital

$26K
81265433551$25K
91639101116$22K
101811914674$20K
111508856535$17K
12Grossmont Hospital Corporation

La Mesa, CA · General Acute Care Hospital

$17K
131184654923$14K
141801366711$11K
151508859323$10K
161811926058$9K
171700803285$9K
181124004304$7K
19Kaiser Foundation Health Plan Inc

Oakland, CA · Health Maintenance Organization

$6K
201801861190$5K

Showing top 20 of 136 providers billing this code