17004
HCPCS Procedure Code
HCPCS code 17004 is the #2,135 most-billed Medicaid procedure code, with $8.6M in payments across 100K claims from 2018–2024. The national median cost per claim is $65.58. Costs vary widely — the 90th percentile is $141.58 per claim, 2.2× the median.
Total Paid
$8.6M
0.00% of all spending
Total Claims
100K
Providers
118
Avg Cost/Claim
$86
National Cost Distribution
How much do providers bill per claim for 17004? Based on 113 providers billing this code nationally.
Median
$65.58
Average
$72.24
Std Dev
$53.27
Max
$234.71
Percentile Distribution (Cost per Claim)
50% of providers bill between $25.30 and $105.66 per claim for this code.
90% bill between $8.29 and $141.58.
Top 1% bill above $206.44.
About This Procedure
HCPCS code 17004 was billed by 118 providers across 100K claims, totaling $8.6M in Medicaid payments from 2018–2024. This code was used for 85K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$65.58
Providers Billing
113
National Spending
$8.6M
Avg/Median Ratio
1.10×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 17004
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1720110968 | $1.5M |
| 2 | 1568873727 | $1.2M |
| 3 | 1235671389 | $949K |
| 4 | 1487659512 | $826K |
| 5 | 1467884536 | $320K |
| 6 | 1205819349 | $315K |
| 7 | 1306959721 | $270K |
| 8 | 1649258286 | $249K |
| 9 | 1427343391 | $229K |
| 10 | 1912096280 | $197K |
| 11 | 1104110071 | $185K |
| 12 | 1346299435 | $172K |
| 13 | 1457676611 | $165K |
| 14 | 1558386003 | $162K |
| 15 | 1780159749 | $154K |
| 16 | 1740410182 | $146K |
| 17 | 1932432929 | $128K |
| 18 | 1912256033 | $97K |
| 19 | 1821285974 | $85K |
| 20 | 1821074360 | $78K |
Showing top 20 of 118 providers billing this code