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#759 of 11K

H0003

HCPCS Procedure Code

HCPCS code H0003 is the #759 most-billed Medicaid procedure code, with $87.3M in payments across 2.4M claims from 2018–2024. The national median cost per claim is $13.38. Costs vary widely — the 90th percentile is $74.67 per claim, 5.6× the median.

Total Paid

$87.3M

0.01% of all spending

Total Claims

2.4M

Providers

458

Avg Cost/Claim

$36

National Cost Distribution

How much do providers bill per claim for H0003? Based on 410 providers billing this code nationally.

Median

$13.38

Average

$25.36

Std Dev

$29.42

Max

$207.85

Percentile Distribution (Cost per Claim)

p10
$4.50
p25
$4.50
Median
$13.38
p75
$32.58
p90
$74.67
p95
$76.88
p99
$80.72

50% of providers bill between $4.50 and $32.58 per claim for this code.

90% bill between $4.50 and $74.67.

Top 1% bill above $80.72.

About This Procedure

HCPCS code H0003 was billed by 458 providers across 2.4M claims, totaling $87.3M in Medicaid payments from 2018–2024. This code was used for 1.1M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.38

Providers Billing

410

National Spending

$87.3M

Avg/Median Ratio

1.90×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for H0003

#ProviderTotal Paid
11629282470$23.9M
21790837128$5.0M
31467503193$4.4M
41801947965$4.3M
51003150004$3.9M
61336247139$3.6M
71881131761$3.5M
81720356314$3.4M
91265922660$3.4M
101780158261$3.2M
111912062068$2.8M
121649326737$2.6M
131740651330$2.2M
141700250784$2.0M
151417099417$1.6M
161013572353$1.5M
171992126452$1.4M
181346620952$1.3M
191558493916$1.2M
201689892473$880K

Showing top 20 of 458 providers billing this code