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#2931 of 11K

38204

HCPCS Procedure Code

HCPCS code 38204 is the #2,931 most-billed Medicaid procedure code, with $3.0M in payments across 1K claims from 2018–2024. The national median cost per claim is $2,308.85.

Total Paid

$3.0M

0.00% of all spending

Total Claims

1K

Providers

2

Avg Cost/Claim

$3K

National Cost Distribution

How much do providers bill per claim for 38204? Based on 2 providers billing this code nationally.

Median

$2,308.85

Average

$2,308.85

Std Dev

$3,260.18

Max

$4,614.15

Percentile Distribution (Cost per Claim)

p10
$464.61
p25
$1,156.20
Median
$2,308.85
p75
$3,461.50
p90
$4,153.09
p95
$4,383.62
p99
$4,568.04

50% of providers bill between $1,156.20 and $3,461.50 per claim for this code.

90% bill between $464.61 and $4,153.09.

Top 1% bill above $4,568.04.

About This Procedure

HCPCS code 38204 was billed by 2 providers across 1K claims, totaling $3.0M in Medicaid payments from 2018–2024. This code was used for 801 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2,308.85

Providers Billing

2

National Spending

$3.0M

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.