0430
HCPCS Procedure Code
HCPCS code 0430 is the #5,029 most-billed Medicaid procedure code, with $316K in payments across 29K claims from 2018–2024. The national median cost per claim is $21.43. Costs vary widely — the 90th percentile is $159.83 per claim, 7.5× the median.
Total Paid
$316K
0.00% of all spending
Total Claims
29K
Providers
61
Avg Cost/Claim
$11
National Cost Distribution
How much do providers bill per claim for 0430? Based on 27 providers billing this code nationally.
Median
$21.43
Average
$118.00
Std Dev
$350.32
Max
$1,802.88
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.24 and $57.63 per claim for this code.
90% bill between $0.28 and $159.83.
Top 1% bill above $1,455.43.
About This Procedure
HCPCS code 0430 was billed by 61 providers across 29K claims, totaling $316K in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$21.43
Providers Billing
27
National Spending
$316K
Avg/Median Ratio
5.51×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0430
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1447817721 | $120K |
| 2 | 1477596583 | $47K |
| 3 | 1972201598 | $38K |
| 4 | County Of Ventura Ventura, CA · Clinic/Center, Emergency Care | $26K |
| 5 | Palomar Health Escondido, CA · General Acute Care Hospital | $17K |
| 6 | 1225038136 | $15K |
| 7 | 1558915256 | $9K |
| 8 | 1508959214 | $8K |
| 9 | 1487681631 | $7K |
| 10 | University Of California Irvine Orange, CA · General Acute Care Hospital | $6K |
| 11 | 1154453579 | $5K |
| 12 | 1194840421 | $3K |
| 13 | 1215927470 | $3K |
| 14 | 1922522507 | $3K |
| 15 | Grossmont Hospital Corporation La Mesa, CA · General Acute Care Hospital | $2K |
| 16 | 1104906569 | $2K |
| 17 | 1831188275 | $1K |
| 18 | 1760510937 | $886 |
| 19 | Central Valley Specialty Hospital Inc Modesto, CA · General Acute Care Hospital | $456 |
| 20 | 1477555472 | $382 |
Showing top 20 of 61 providers billing this code