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#2818 of 11K

30802

HCPCS Procedure Code

HCPCS code 30802 is the #2,818 most-billed Medicaid procedure code, with $3.5M in payments across 12K claims from 2018–2024. The national median cost per claim is $110.05. Costs vary widely — the 90th percentile is $582.31 per claim, 5.3× the median.

Total Paid

$3.5M

0.00% of all spending

Total Claims

12K

Providers

62

Avg Cost/Claim

$280

National Cost Distribution

How much do providers bill per claim for 30802? Based on 59 providers billing this code nationally.

Median

$110.05

Average

$234.95

Std Dev

$339.91

Max

$1,751.15

Percentile Distribution (Cost per Claim)

p10
$45.04
p25
$75.29
Median
$110.05
p75
$194.82
p90
$582.31
p95
$938.47
p99
$1,635.30

50% of providers bill between $75.29 and $194.82 per claim for this code.

90% bill between $45.04 and $582.31.

Top 1% bill above $1,635.30.

About This Procedure

HCPCS code 30802 was billed by 62 providers across 12K claims, totaling $3.5M in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$110.05

Providers Billing

59

National Spending

$3.5M

Avg/Median Ratio

2.13×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 30802

#ProviderTotal Paid
1Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$1.3M
21316341514$705K
31598868655$266K
41902350853$247K
51992706899$157K
61396796249$122K
7Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$121K
81265907885$75K
91386648798$62K
101447322839$45K
111598958431$43K
121194968081$36K
131811992761$33K
141871859306$28K
151871864439$24K
161619048139$21K
171639189236$18K
181912039710$16K
191104859131$15K
201437615929$12K

Showing top 20 of 62 providers billing this code

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