#4421 of 11K

84030

HCPCS Procedure Code

HCPCS code 84030 is the #4,421 most-billed Medicaid procedure code, with $600K in payments across 140K claims from 2018–2024. The national median cost per claim is $2.59. Costs vary widely — the 90th percentile is $9.09 per claim, 3.5× the median.

Total Paid

$600K

0.00% of all spending

Total Claims

140K

Providers

271

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 84030? Based on 239 providers billing this code nationally.

Median

$2.59

Average

$6.73

Std Dev

$35.01

Max

$529.79

Percentile Distribution (Cost per Claim)

p10

$0.18

p25

$1.04

Median

$2.59

p75

$4.57

p90

$9.09

p95

$13.69

p99

$52.19

50% of providers bill between $1.04 and $4.57 per claim for this code.

90% bill between $0.18 and $9.09.

Top 1% bill above $52.19.

About This Procedure

HCPCS code 84030 was billed by 271 providers across 140K claims, totaling $600K in Medicaid payments from 2018–2024. This code was used for 118K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.59

Providers Billing

239

National Spending

$600K

Avg/Median Ratio

2.60×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 84030

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital	$159K	$529.79	204.6× median	Top 1%
2	1336245828	$48K	$25.20	9.7× median	Top 10%
3	1225033814	$35K	$56.16	21.7× median	Top 1%
4	University Of Kentucky Lexington, KY · General Acute Care Hospital	$24K	$5.33	2.1× median	Above 75th
5	1457354656	$16K	$2.95	1.1× median	Above Median
6	Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital	$13K	$6.80	2.6× median	Above 75th
7	1467442418	$13K	$8.34	3.2× median	Above 75th
8	Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital	$12K	$13.65	5.3× median	Top 10%
9	1306897681	$12K	$35.68	13.8× median	Top 10%
10	Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital	$10K	$7.67	3.0× median	Above 75th
11	1689624686	$10K	$7.32	2.8× median	Above 75th
12	1407950082	$10K	$4.14	1.6× median	Above Median
13	1811086994	$9K	$11.39	4.4× median	Top 10%
14	Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children	$8K	$18.54	7.2× median	Top 10%
15	1265423917	$8K	$10.60	4.1× median	Top 10%
16	1215938097	$8K	$2.62	1.0× median	Above Median
17	1669472387	$7K	$6.70	2.6× median	Above 75th
18	1528019189	$6K	$2.60	1.0× median	Above Median
19	1922008150	$6K	$2.77	1.1× median	Above Median
20	1669430773	$6K	$2.51	1.0× median	Below Median

Showing top 20 of 271 providers billing this code

Related Procedures

84035$580

← All procedures Top providers →