58301
HCPCS Procedure Code
HCPCS code 58301 is the #1,989 most-billed Medicaid procedure code, with $10.5M in payments across 165K claims from 2018–2024. The national median cost per claim is $49.65. Costs vary widely — the 90th percentile is $148.52 per claim, 3.0× the median.
Total Paid
$10.5M
0.00% of all spending
Total Claims
165K
Providers
398
Avg Cost/Claim
$63
National Cost Distribution
How much do providers bill per claim for 58301? Based on 368 providers billing this code nationally.
Median
$49.65
Average
$72.84
Std Dev
$93.65
Max
$1,209.69
Percentile Distribution (Cost per Claim)
50% of providers bill between $29.19 and $90.29 per claim for this code.
90% bill between $19.07 and $148.52.
Top 1% bill above $287.49.
About This Procedure
HCPCS code 58301 was billed by 398 providers across 165K claims, totaling $10.5M in Medicaid payments from 2018–2024. This code was used for 119K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$49.65
Providers Billing
368
National Spending
$10.5M
Avg/Median Ratio
1.47×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 58301
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1417959701 | $948K |
| 2 | Planned Parenthood/orange And San Bernardino Counties, Inc. Orange, CA · Clinic/Center, Ambulatory Family Planning Facility | $882K |
| 3 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $374K |
| 4 | 1285701672 | $270K |
| 5 | Brigham & Womens Hospital Inc. Boston, MA · General Acute Care Hospital | $258K |
| 6 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $249K |
| 7 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $245K |
| 8 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $240K |
| 9 | Baystate Medical Center Inc Springfield, MA · General Acute Care Hospital | $209K |
| 10 | 1821095779 | $199K |
| 11 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $196K |
| 12 | Cambridge Public Health Commission Cambridge, MA · General Acute Care Hospital | $187K |
| 13 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $184K |
| 14 | Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital | $177K |
| 15 | Medical Associates Of Ebnhc East Boston, MA · Clinic/Center, Community Health | $175K |
| 16 | 1366525370 | $173K |
| 17 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $163K |
| 18 | 1629057146 | $163K |
| 19 | Beth Israel Deaconess Medical Center, Inc. Boston, MA · General Acute Care Hospital | $141K |
| 20 | 1487749495 | $130K |
Showing top 20 of 398 providers billing this code