21030
HCPCS Procedure Code
HCPCS code 21030 is the #5,451 most-billed Medicaid procedure code, with $196K in payments across 1,687 claims from 2018–2024. The national median cost per claim is $120.82.
Total Paid
$196K
0.00% of all spending
Total Claims
1,687
Providers
2
Avg Cost/Claim
$116
National Cost Distribution
How much do providers bill per claim for 21030? Based on 2 providers billing this code nationally.
Median
$120.82
Average
$120.82
Std Dev
$123.12
Max
$207.88
Percentile Distribution (Cost per Claim)
50% of providers bill between $77.29 and $164.35 per claim for this code.
90% bill between $51.17 and $190.47.
Top 1% bill above $206.14.
About This Procedure
HCPCS code 21030 was billed by 2 providers across 1,687 claims, totaling $196K in Medicaid payments from 2018–2024. This code was used for 1,077 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$120.82
Providers Billing
2
National Spending
$196K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.