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#1960 of 11K

17000

HCPCS Procedure Code

HCPCS code 17000 is the #1,960 most-billed Medicaid procedure code, with $10.9M in payments across 404K claims from 2018–2024. The national median cost per claim is $21.35. Costs vary widely — the 90th percentile is $47.01 per claim, 2.2× the median.

Total Paid

$10.9M

0.00% of all spending

Total Claims

404K

Providers

841

Avg Cost/Claim

$27

National Cost Distribution

How much do providers bill per claim for 17000? Based on 791 providers billing this code nationally.

Median

$21.35

Average

$25.71

Std Dev

$25.74

Max

$304.30

Percentile Distribution (Cost per Claim)

p10
$4.55
p25
$10.57
Median
$21.35
p75
$32.04
p90
$47.01
p95
$61.37
p99
$123.44

50% of providers bill between $10.57 and $32.04 per claim for this code.

90% bill between $4.55 and $47.01.

Top 1% bill above $123.44.

About This Procedure

HCPCS code 17000 was billed by 841 providers across 404K claims, totaling $10.9M in Medicaid payments from 2018–2024. This code was used for 346K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$21.35

Providers Billing

791

National Spending

$10.9M

Avg/Median Ratio

1.20×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 17000

#ProviderTotal Paid
11568873727$1.8M
21366544124$190K
31841214939$179K
41881023927$172K
51508815556$161K
61548489602$156K
71235671389$151K
8Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$150K
91932154788$150K
101487659512$143K
111902960099$137K
121780159749$136K
131184027104$130K
14Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$124K
151871909804$124K
161306982855$121K
171922279496$120K
18County Of Ventura

Ventura, CA · Clinic/Center, Emergency Care

$120K
191710913231$119K
20University Of Washington

Seattle, WA · Clinic/Center, Dental

$112K

Showing top 20 of 841 providers billing this code

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