Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#4616 of 11K

30130

HCPCS Procedure Code

HCPCS code 30130 is the #4,616 most-billed Medicaid procedure code, with $486K in payments across 876 claims from 2018–2024. The national median cost per claim is $546.42. Costs vary widely — the 90th percentile is $1,348.08 per claim, 2.5× the median.

Total Paid

$486K

0.00% of all spending

Total Claims

876

Providers

7

Avg Cost/Claim

$555

National Cost Distribution

How much do providers bill per claim for 30130? Based on 7 providers billing this code nationally.

Median

$546.42

Average

$722.37

Std Dev

$701.37

Max

$2,218.99

Percentile Distribution (Cost per Claim)

p10
$178.23
p25
$310.56
Median
$546.42
p75
$751.36
p90
$1,348.08
p95
$1,783.54
p99
$2,131.90

50% of providers bill between $310.56 and $751.36 per claim for this code.

90% bill between $178.23 and $1,348.08.

Top 1% bill above $2,131.90.

About This Procedure

HCPCS code 30130 was billed by 7 providers across 876 claims, totaling $486K in Medicaid payments from 2018–2024. This code was used for 722 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$546.42

Providers Billing

7

National Spending

$486K

Avg/Median Ratio

1.32×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 30130

#ProviderTotal Paid
11205851011$236K
21588629968$151K
31467491423$49K
41871110148$32K
51225323389$10K
6Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$5K
71750402038$3K

Showing top 7 of 7 providers billing this code

Related Procedures