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#5671 of 11K

10030

HCPCS Procedure Code

HCPCS code 10030 is the #5,671 most-billed Medicaid procedure code, with $157K in payments across 498 claims from 2018–2024. The national median cost per claim is $321.05.

Total Paid

$157K

0.00% of all spending

Total Claims

498

Providers

3

Avg Cost/Claim

$315

National Cost Distribution

How much do providers bill per claim for 10030? Based on 3 providers billing this code nationally.

Median

$321.05

Average

$253.75

Std Dev

$154.54

Max

$363.23

Percentile Distribution (Cost per Claim)

p10
$125.79
p25
$199.01
Median
$321.05
p75
$342.14
p90
$354.80
p95
$359.01
p99
$362.39

50% of providers bill between $199.01 and $342.14 per claim for this code.

90% bill between $125.79 and $354.80.

Top 1% bill above $362.39.

About This Procedure

HCPCS code 10030 was billed by 3 providers across 498 claims, totaling $157K in Medicaid payments from 2018–2024. This code was used for 270 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$321.05

Providers Billing

3

National Spending

$157K

Avg/Median Ratio

0.79×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.