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#2908 of 11K

70355

HCPCS Procedure Code

HCPCS code 70355 is the #2,908 most-billed Medicaid procedure code, with $3.1M in payments across 128K claims from 2018–2024. The national median cost per claim is $13.09. Costs vary widely — the 90th percentile is $38.07 per claim, 2.9× the median.

Total Paid

$3.1M

0.00% of all spending

Total Claims

128K

Providers

200

Avg Cost/Claim

$24

National Cost Distribution

How much do providers bill per claim for 70355? Based on 197 providers billing this code nationally.

Median

$13.09

Average

$18.59

Std Dev

$19.34

Max

$115.95

Percentile Distribution (Cost per Claim)

p10
$4.63
p25
$6.83
Median
$13.09
p75
$22.51
p90
$38.07
p95
$59.29
p99
$101.19

50% of providers bill between $6.83 and $22.51 per claim for this code.

90% bill between $4.63 and $38.07.

Top 1% bill above $101.19.

About This Procedure

HCPCS code 70355 was billed by 200 providers across 128K claims, totaling $3.1M in Medicaid payments from 2018–2024. This code was used for 120K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.09

Providers Billing

197

National Spending

$3.1M

Avg/Median Ratio

1.42×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 70355

#ProviderTotal Paid
1Truman Medical Center, Incorporated

Kansas City, MO · General Acute Care Hospital

$535K
2Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$511K
31073641148$338K
4University Of Kentucky

Lexington, KY · General Acute Care Hospital

$189K
5University Of Cincinnati Medical Center, Llc

Cincinnati, OH · General Acute Care Hospital

$162K
61326093675$155K
71356307581$108K
81346403854$104K
9Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$63K
10Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$62K
111427536325$50K
121114187762$44K
131699826834$42K
14Banner - University Medical Center Phoenix

Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic

$31K
151134271711$28K
161205935012$25K
171326117185$22K
18The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$21K
191225045594$19K
201952401796$19K

Showing top 20 of 200 providers billing this code

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