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#3711 of 11K

15003

HCPCS Procedure Code

HCPCS code 15003 is the #3,711 most-billed Medicaid procedure code, with $1.3M in payments across 4,474 claims from 2018–2024. The national median cost per claim is $207.44. Costs vary widely — the 90th percentile is $789.46 per claim, 3.8× the median.

Total Paid

$1.3M

0.00% of all spending

Total Claims

4,474

Providers

17

Avg Cost/Claim

$290

National Cost Distribution

How much do providers bill per claim for 15003? Based on 16 providers billing this code nationally.

Median

$207.44

Average

$355.09

Std Dev

$298.81

Max

$1,020.79

Percentile Distribution (Cost per Claim)

p10
$95.13
p25
$167.49
Median
$207.44
p75
$488.32
p90
$789.46
p95
$940.87
p99
$1,004.80

50% of providers bill between $167.49 and $488.32 per claim for this code.

90% bill between $95.13 and $789.46.

Top 1% bill above $1,004.80.

About This Procedure

HCPCS code 15003 was billed by 17 providers across 4,474 claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 2,793 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$207.44

Providers Billing

16

National Spending

$1.3M

Avg/Median Ratio

1.71×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 15003

#ProviderTotal Paid
11215904909$752K
2District Medical Group, Inc

Phoenix, AZ · Anesthesiology

$160K
31275526337$101K
41073087680$71K
51043402522$46K
61770881104$46K
71194346734$40K
81770796096$26K
91518916311$14K
101013283803$12K
111407397235$7K
121235326760$6K
131225725278$6K
141619234176$5K
151073911137$3K
161033163092$128
171598708513$0

Showing top 17 of 17 providers billing this code