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#2566 of 11K

0370

HCPCS Procedure Code

HCPCS code 0370 is the #2,566 most-billed Medicaid procedure code, with $4.9M in payments across 164K claims from 2018–2024. The national median cost per claim is $12.04. Costs vary widely — the 90th percentile is $165.74 per claim, 13.8× the median.

Total Paid

$4.9M

0.00% of all spending

Total Claims

164K

Providers

176

Avg Cost/Claim

$30

National Cost Distribution

How much do providers bill per claim for 0370? Based on 124 providers billing this code nationally.

Median

$12.04

Average

$70.19

Std Dev

$182.01

Max

$1,711.33

Percentile Distribution (Cost per Claim)

p10
$0.45
p25
$1.67
Median
$12.04
p75
$60.30
p90
$165.74
p95
$300.66
p99
$593.69

50% of providers bill between $1.67 and $60.30 per claim for this code.

90% bill between $0.45 and $165.74.

Top 1% bill above $593.69.

About This Procedure

HCPCS code 0370 was billed by 176 providers across 164K claims, totaling $4.9M in Medicaid payments from 2018–2024. This code was used for 149K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.04

Providers Billing

124

National Spending

$4.9M

Avg/Median Ratio

5.83×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0370

#ProviderTotal Paid
1City Of Hope National Medical Center

Duarte, CA · General Acute Care Hospital

$659K
2Stanford Health Care

Stanford, CA · General Acute Care Hospital

$533K
3Keck Medical Center Of Usc

Los Angeles, CA · General Acute Care Hospital

$378K
41902803315$318K
5Regents Of The University Of California

Sacramento, CA · General Acute Care Hospital

$258K
61477554152$228K
7Seventh-day Adventists Loma Linda University Medical Center

Loma Linda, CA · General Acute Care Hospital

$221K
81922033547$212K
91154368116$209K
101043354111$199K
11Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$160K
12Dignity Health

San Bernardino, CA · General Acute Care Hospital

$157K
131710065933$150K
14Antelope Valley Health Care District

Lancaster, CA · General Acute Care Hospital

$121K
151639172372$117K
161821250762$94K
171972503142$76K
181952546616$72K
191194840421$50K
201639523004$43K

Showing top 20 of 176 providers billing this code