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#3777 of 11K

28003

HCPCS Procedure Code

HCPCS code 28003 is the #3,777 most-billed Medicaid procedure code, with $1.2M in payments across 5,068 claims from 2018–2024. The national median cost per claim is $361.34.

Total Paid

$1.2M

0.00% of all spending

Total Claims

5,068

Providers

3

Avg Cost/Claim

$234

National Cost Distribution

How much do providers bill per claim for 28003? Based on 3 providers billing this code nationally.

Median

$361.34

Average

$345.19

Std Dev

$110.62

Max

$446.85

Percentile Distribution (Cost per Claim)

p10
$254.18
p25
$294.36
Median
$361.34
p75
$404.10
p90
$429.75
p95
$438.30
p99
$445.14

50% of providers bill between $294.36 and $404.10 per claim for this code.

90% bill between $254.18 and $429.75.

Top 1% bill above $445.14.

About This Procedure

HCPCS code 28003 was billed by 3 providers across 5,068 claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 885 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$361.34

Providers Billing

3

National Spending

$1.2M

Avg/Median Ratio

0.96×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.