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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1194711952 | $165K |
| 2 | 1396778197 | $129K |
| 3 | 1710065933 | $110K |
| 4 | 1760510937 | $48K |
| 5 | 1043215379 | $37K |
| 6 | Palomar Health Escondido, CA · General Acute Care Hospital | $35K |
| 7 | University Of California Irvine Orange, CA · General Acute Care Hospital | $26K |
| 8 | 1265433551 | $25K |
| 9 | 1639101116 | $22K |
| 10 | 1811914674 | $20K |
| 11 | 1508856535 | $17K |
| 12 | Grossmont Hospital Corporation La Mesa, CA · General Acute Care Hospital | $17K |
| 13 | 1184654923 | $14K |
| 14 | 1801366711 | $11K |
| 15 | 1508859323 | $10K |
| 16 | 1811926058 | $9K |
| 17 | 1700803285 | $9K |
| 18 | 1124004304 | $7K |
| 19 | Kaiser Foundation Health Plan Inc Oakland, CA · Health Maintenance Organization | $6K |
| 20 | 1801861190 | $5K |
Showing top 20 of 136 providers billing this code