#3589 of 11K

30930

HCPCS Procedure Code

HCPCS code 30930 is the #3,589 most-billed Medicaid procedure code, with $1.5M in payments across 6,969 claims from 2018–2024. The national median cost per claim is $46.83. Costs vary widely — the 90th percentile is $424.41 per claim, 9.1× the median.

Total Paid

$1.5M

0.00% of all spending

Total Claims

6,969

Providers

Avg Cost/Claim

$209

National Cost Distribution

How much do providers bill per claim for 30930? Based on 29 providers billing this code nationally.

Median

$46.83

Average

$153.72

Std Dev

$211.30

Max

$778.50

Percentile Distribution (Cost per Claim)

p10

$12.67

p25

$29.36

Median

$46.83

p75

$193.56

p90

$424.41

p95

$632.52

p99

$754.23

50% of providers bill between $29.36 and $193.56 per claim for this code.

90% bill between $12.67 and $424.41.

Top 1% bill above $754.23.

About This Procedure

HCPCS code 30930 was billed by 30 providers across 6,969 claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 6,057 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$46.83

Providers Billing

National Spending

$1.5M

Avg/Median Ratio

3.28×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 30930

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1316341514	$864K	$356.31	7.6× median	Above 75th
2	1992706899	$157K	$543.58	11.6× median	Top 10%
3	1396796249	$142K	$778.50	16.6× median	Top 1%
4	Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital	$138K	$262.56	5.6× median	Above 75th
5	1811992761	$37K	$79.73	1.7× median	Above Median
6	1811555014	$33K	$40.52	0.9× median	Below Median
7	1932208576	$13K	$310.66	6.6× median	Above 75th
8	Bexar County Hospital District San Antonio, TX · Clinical Medical Laboratory	$11K	$691.82	14.8× median	Top 10%
9	1235596677	$9K	$65.88	1.4× median	Above Median
10	1598958431	$7K	$40.30	0.9× median	Below Median
11	1013030618	$6K	$17.57	0.4× median	Below Median
12	1902350853	$6K	$7.96	0.2× median	Below Median
13	1598744856	$5K	$394.61	8.4× median	Above 75th
14	1699874248	$5K	$182.03	3.9× median	Above Median
15	1558636845	$5K	$74.72	1.6× median	Above Median
16	1972911030	$3K	$193.56	4.1× median	Above 75th
17	1467491423	$3K	$49.63	1.1× median	Above Median
18	1982715512	$3K	$52.88	1.1× median	Above Median
19	1194968081	$2K	$42.42	0.9× median	Below Median
20	1639230220	$2K	$29.38	0.6× median	Below Median

Showing top 20 of 30 providers billing this code

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