Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#7097 of 11K

6030F

HCPCS Procedure Code

HCPCS code 6030F is the #7,097 most-billed Medicaid procedure code, with $28K in payments across 9,472 claims from 2018–2024. The national median cost per claim is $20.33.

Total Paid

$28K

0.00% of all spending

Total Claims

9,472

Providers

73

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for 6030F? Based on 11 providers billing this code nationally.

Median

$20.33

Average

$16.46

Std Dev

$14.42

Max

$38.32

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$1.71
Median
$20.33
p75
$27.10
p90
$32.80
p95
$35.56
p99
$37.77

50% of providers bill between $1.71 and $27.10 per claim for this code.

90% bill between $0.00 and $32.80.

Top 1% bill above $37.77.

About This Procedure

HCPCS code 6030F was billed by 73 providers across 9,472 claims, totaling $28K in Medicaid payments from 2018–2024. This code was used for 8,322 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$20.33

Providers Billing

11

National Spending

$28K

Avg/Median Ratio

0.81×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 6030F

#ProviderTotal Paid
11326450156$12K
21457339277$11K
31134117393$2K
41710330188$1K
51154335487$804
61720024235$640
71578505202$345
81922598929$325
91942463625$25
101821035999$0
111982893483$0
121952311441$0
131164421574$0
141720287923$0
151700165685$0
161942200761$0
171073595179$0
181437104429$0
191235660002$0
201093772527$0

Showing top 20 of 73 providers billing this code

Related Procedures