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#4526 of 11K

0353U

HCPCS Procedure Code

HCPCS code 0353U is the #4,526 most-billed Medicaid procedure code, with $533K in payments across 39K claims from 2018–2024. The national median cost per claim is $4.92. Costs vary widely — the 90th percentile is $58.31 per claim, 11.9× the median.

Total Paid

$533K

0.00% of all spending

Total Claims

39K

Providers

109

Avg Cost/Claim

$14

National Cost Distribution

How much do providers bill per claim for 0353U? Based on 64 providers billing this code nationally.

Median

$4.92

Average

$21.53

Std Dev

$35.37

Max

$219.19

Percentile Distribution (Cost per Claim)

p10
$0.07
p25
$0.68
Median
$4.92
p75
$34.00
p90
$58.31
p95
$75.46
p99
$145.62

50% of providers bill between $0.68 and $34.00 per claim for this code.

90% bill between $0.07 and $58.31.

Top 1% bill above $145.62.

About This Procedure

HCPCS code 0353U was billed by 109 providers across 39K claims, totaling $533K in Medicaid payments from 2018–2024. This code was used for 36K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.92

Providers Billing

64

National Spending

$533K

Avg/Median Ratio

4.38×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0353U

#ProviderTotal Paid
11467442418$75K
21508856535$74K
31245221050$58K
4Pikeville Medical Center Inc

Pikeville, KY · General Acute Care Hospital

$44K
51457347239$38K
61467448498$33K
71548291891$30K
81437171568$25K
91245326255$17K
101962594622$17K
111972517365$14K
121134168263$13K
131477876514$12K
141235218785$11K
151396731105$10K
161881630036$7K
171023013448$6K
181982607115$6K
19Florida Clinical Practice Association Inc

Gainesville, FL · Surgery

$5K
201073580726$5K

Showing top 20 of 109 providers billing this code