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#2926 of 11K

73000

HCPCS Procedure Code

HCPCS code 73000 is the #2,926 most-billed Medicaid procedure code, with $3.0M in payments across 134K claims from 2018–2024. The national median cost per claim is $12.19. Costs vary widely — the 90th percentile is $51.43 per claim, 4.2× the median.

Total Paid

$3.0M

0.00% of all spending

Total Claims

134K

Providers

439

Avg Cost/Claim

$22

National Cost Distribution

How much do providers bill per claim for 73000? Based on 424 providers billing this code nationally.

Median

$12.19

Average

$22.05

Std Dev

$33.21

Max

$411.57

Percentile Distribution (Cost per Claim)

p10
$3.92
p25
$5.68
Median
$12.19
p75
$26.03
p90
$51.43
p95
$72.94
p99
$120.67

50% of providers bill between $5.68 and $26.03 per claim for this code.

90% bill between $3.92 and $51.43.

Top 1% bill above $120.67.

About This Procedure

HCPCS code 73000 was billed by 439 providers across 134K claims, totaling $3.0M in Medicaid payments from 2018–2024. This code was used for 119K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.19

Providers Billing

424

National Spending

$3.0M

Avg/Median Ratio

1.81×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 73000

#ProviderTotal Paid
1Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$201K
2Yukon-kuskokwim Health Corporation

Bethel, AK · General Acute Care Hospital Rural

$163K
3Variety Children's Hospital

Miami, FL · General Acute Care Hospital Children

$162K
4University Of Kentucky

Lexington, KY · General Acute Care Hospital

$157K
5Alaska Native Tribal Health Consortium

Anchorage, AK · General Acute Care Hospital

$121K
6Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$107K
7University Hospital

Newark, NJ · General Acute Care Hospital

$100K
81700949336$87K
9Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$72K
10State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$71K
11Childrens Hospital Of The Kings Daughters Inc

Norfolk, VA · Social Worker, Clinical

$70K
12Connecticut Children's Medical Center

Hartford, CT · General Acute Care Hospital, Children

$68K
13Children's Hospital & Research Center At Oakland

Oakland, CA · General Acute Care Hospital

$58K
14Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$48K
15Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$46K
161699874248$43K
17Jersey City Medical Center

Jersey City, NJ · General Acute Care Hospital

$43K
18Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$40K
191942300918$40K
20Children's Hospital Corporation

Boston, MA · Clinic/Center

$39K

Showing top 20 of 439 providers billing this code

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