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#6988 of 11K

1003F

HCPCS Procedure Code

HCPCS code 1003F is the #6,988 most-billed Medicaid procedure code, with $33K in payments across 703K claims from 2018–2024. The national median cost per claim is $0.01. Costs vary widely — the 90th percentile is $0.68 per claim, 68.0× the median.

Total Paid

$33K

0.00% of all spending

Total Claims

703K

Providers

413

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 1003F? Based on 35 providers billing this code nationally.

Median

$0.01

Average

$0.87

Std Dev

$3.15

Max

$17.93

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.01
p75
$0.25
p90
$0.68
p95
$4.34
p99
$13.45

50% of providers bill between $0.00 and $0.25 per claim for this code.

90% bill between $0.00 and $0.68.

Top 1% bill above $13.45.

About This Procedure

HCPCS code 1003F was billed by 413 providers across 703K claims, totaling $33K in Medicaid payments from 2018–2024. This code was used for 562K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.01

Providers Billing

35

National Spending

$33K

Avg/Median Ratio

87.00×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 1003F

#ProviderTotal Paid
11700886322$28K
21932214657$2K
31396828331$997
41134251192$403
51912254574$279
61831152727$218
71194956292$188
81134166556$143
91811955024$125
101427006113$111
111285711812$99
121508924267$84
131790121325$60
141215014113$52
151467584441$50
161023398310$29
171366591794$29
181811971765$28
191174546048$17
201649324278$14

Showing top 20 of 413 providers billing this code