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#5974 of 11K

30999

HCPCS Procedure Code

HCPCS code 30999 is the #5,974 most-billed Medicaid procedure code, with $112K in payments across 1,502 claims from 2018–2024. The national median cost per claim is $2.68. Costs vary widely — the 90th percentile is $77.47 per claim, 28.9× the median.

Total Paid

$112K

0.00% of all spending

Total Claims

1,502

Providers

4

Avg Cost/Claim

$74

National Cost Distribution

How much do providers bill per claim for 30999? Based on 3 providers billing this code nationally.

Median

$2.68

Average

$33.63

Std Dev

$54.16

Max

$96.17

Percentile Distribution (Cost per Claim)

p10
$2.17
p25
$2.36
Median
$2.68
p75
$49.43
p90
$77.47
p95
$86.82
p99
$94.30

50% of providers bill between $2.36 and $49.43 per claim for this code.

90% bill between $2.17 and $77.47.

Top 1% bill above $94.30.

About This Procedure

HCPCS code 30999 was billed by 4 providers across 1,502 claims, totaling $112K in Medicaid payments from 2018–2024. This code was used for 1,217 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.68

Providers Billing

3

National Spending

$112K

Avg/Median Ratio

12.55×

Highly skewed — outlier-driven

Provider Coverage

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

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