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)
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.