0363T
HCPCS Procedure Code
HCPCS code 0363T is the #4,454 most-billed Medicaid procedure code, with $581K in payments across 12K claims from 2018–2024. The national median cost per claim is $51.38.
Total Paid
$581K
0.00% of all spending
Total Claims
12K
Providers
5
Avg Cost/Claim
$47
National Cost Distribution
How much do providers bill per claim for 0363T? Based on 5 providers billing this code nationally.
Median
$51.38
Average
$55.52
Std Dev
$17.89
Max
$86.21
Percentile Distribution (Cost per Claim)
50% of providers bill between $47.73 and $52.64 per claim for this code.
90% bill between $42.88 and $72.78.
Top 1% bill above $84.86.
About This Procedure
HCPCS code 0363T was billed by 5 providers across 12K claims, totaling $581K in Medicaid payments from 2018–2024. This code was used for 1,213 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$51.38
Providers Billing
5
National Spending
$581K
Avg/Median Ratio
1.08×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0363T
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1821494584 | $483K |
| 2 | 1467598730 | $58K |
| 3 | 1801909239 | $38K |
| 4 | 1063834539 | $3K |
| 5 | 1609363183 | $842 |
Showing top 5 of 5 providers billing this code