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#7007 of 11K

K0603

HCPCS Procedure Code

HCPCS code K0603 is the #7,007 most-billed Medicaid procedure code, with $32K in payments across 14K claims from 2018–2024. The national median cost per claim is $0.93. Costs vary widely — the 90th percentile is $10.82 per claim, 11.6× the median.

Total Paid

$32K

0.00% of all spending

Total Claims

14K

Providers

10

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for K0603? Based on 9 providers billing this code nationally.

Median

$0.93

Average

$5.62

Std Dev

$13.53

Max

$41.62

Percentile Distribution (Cost per Claim)

p10
$0.25
p25
$0.43
Median
$0.93
p75
$2.01
p90
$10.82
p95
$26.22
p99
$38.54

50% of providers bill between $0.43 and $2.01 per claim for this code.

90% bill between $0.25 and $10.82.

Top 1% bill above $38.54.

About This Procedure

HCPCS code K0603 was billed by 10 providers across 14K claims, totaling $32K in Medicaid payments from 2018–2024. This code was used for 13K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.93

Providers Billing

9

National Spending

$32K

Avg/Median Ratio

6.04×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for K0603

#ProviderTotal Paid
1Degc Enterprises (U.s.), Inc.

Clearwater, FL · Durable Medical Equipment & Medical Supplies

$24K
21750473252$3K
3J&b Medical Supply Co Inc

Wixom, MI · Durable Medical Equipment & Medical Supplies

$2K
4Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$2K
5Medical Express Depot Inc.

Pittsburgh, PA · Durable Medical Equipment & Medical Supplies

$259
61033142948$211
71255330403$40
81710079223$17
91619956901$12
101508031840$0

Showing top 10 of 10 providers billing this code