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#2734 of 11K

17003

HCPCS Procedure Code

HCPCS code 17003 is the #2,734 most-billed Medicaid procedure code, with $3.9M in payments across 205K claims from 2018–2024. The national median cost per claim is $8.67. Costs vary widely — the 90th percentile is $23.82 per claim, 2.7× the median.

Total Paid

$3.9M

0.00% of all spending

Total Claims

205K

Providers

455

Avg Cost/Claim

$19

National Cost Distribution

How much do providers bill per claim for 17003? Based on 421 providers billing this code nationally.

Median

$8.67

Average

$11.30

Std Dev

$10.41

Max

$79.33

Percentile Distribution (Cost per Claim)

p10
$1.10
p25
$4.15
Median
$8.67
p75
$15.15
p90
$23.82
p95
$30.96
p99
$44.30

50% of providers bill between $4.15 and $15.15 per claim for this code.

90% bill between $1.10 and $23.82.

Top 1% bill above $44.30.

About This Procedure

HCPCS code 17003 was billed by 455 providers across 205K claims, totaling $3.9M in Medicaid payments from 2018–2024. This code was used for 175K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.67

Providers Billing

421

National Spending

$3.9M

Avg/Median Ratio

1.30×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 17003

#ProviderTotal Paid
11568873727$1.9M
21841214939$134K
31871909804$84K
41053468934$72K
51235671389$70K
61487659512$68K
71366544124$59K
81508815556$52K
91285746552$48K
101982849691$47K
111306982855$43K
121912978834$42K
131184027104$40K
141881023927$38K
151063481703$38K
161245659432$37K
171699382507$33K
181922312248$33K
191922279496$31K
201548489602$31K

Showing top 20 of 455 providers billing this code

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