#6636 of 11K

30300

HCPCS Procedure Code

HCPCS code 30300 is the #6,636 most-billed Medicaid procedure code, with $51K in payments across 1,210 claims from 2018–2024. The national median cost per claim is $28.30. Costs vary widely — the 90th percentile is $133.40 per claim, 4.7× the median.

Total Paid

$51K

0.00% of all spending

Total Claims

1,210

Providers

Avg Cost/Claim

$42

National Cost Distribution

How much do providers bill per claim for 30300? Based on 19 providers billing this code nationally.

Median

$28.30

Average

$53.53

Std Dev

$58.12

Max

$203.67

Percentile Distribution (Cost per Claim)

p10

$7.67

p25

$17.29

Median

$28.30

p75

$72.92

p90

$133.40

p95

$181.67

p99

$199.27

50% of providers bill between $17.29 and $72.92 per claim for this code.

90% bill between $7.67 and $133.40.

Top 1% bill above $199.27.

About This Procedure

HCPCS code 30300 was billed by 20 providers across 1,210 claims, totaling $51K in Medicaid payments from 2018–2024. This code was used for 1,148 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$28.30

Providers Billing

National Spending

$51K

Avg/Median Ratio

1.89×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 30300

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1851357560	$18K	$179.23	6.3× median	Top 10%
2	1770590945	$9K	$28.30	1.0× median	Above Median
3	1861439952	$8K	$203.67	7.2× median	Top 1%
4	Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry	$3K	$31.77	1.1× median	Above Median
5	Inova Health Care Services Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder	$2K	$121.94	4.3× median	Above 75th
6	1992281000	$2K	$66.96	2.4× median	Above Median
7	Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital	$2K	$62.57	2.2× median	Above Median
8	1811920549	$1K	$80.82	2.9× median	Above 75th
9	Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology	$974	$18.72	0.7× median	Below Median
10	Norton Hospitals Inc Louisville, KY · General Acute Care Hospital	$968	$24.83	0.9× median	Below Median
11	Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator	$947	$78.89	2.8× median	Above 75th
12	Vhs Childrens Hospital Of Michigan Inc Detroit, MI · Clinic/Center, Ambulatory Surgical	$872	$15.85	0.6× median	Below Median
13	1093766958	$779	$38.93	1.4× median	Above Median
14	Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care	$547	$8.97	0.3× median	Below Median
15	1225182801	$506	$22.00	0.8× median	Below Median
16	1811080526	$271	$2.46	0.1× median	Below Median
17	Dayton Children's Hospital Dayton, OH · General Acute Care Hospital, Children	$231	$19.22	0.7× median	Below Median
18	1467753418	$140	$11.70	0.4× median	Below Median
19	Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children	$51	$0.30	0.0× median	Below Median
20	Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital	$0	$0.00	0.0× median	Below Median

Showing top 20 of 20 providers billing this code

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