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#5765 of 11K

K0903

HCPCS Procedure Code

HCPCS code K0903 is the #5,765 most-billed Medicaid procedure code, with $143K in payments across 5,076 claims from 2018–2024. The national median cost per claim is $36.39.

Total Paid

$143K

0.00% of all spending

Total Claims

5,076

Providers

25

Avg Cost/Claim

$28

National Cost Distribution

How much do providers bill per claim for K0903? Based on 24 providers billing this code nationally.

Median

$36.39

Average

$36.80

Std Dev

$25.81

Max

$121.53

Percentile Distribution (Cost per Claim)

p10
$6.80
p25
$20.99
Median
$36.39
p75
$44.37
p90
$53.13
p95
$75.60
p99
$111.83

50% of providers bill between $20.99 and $44.37 per claim for this code.

90% bill between $6.80 and $53.13.

Top 1% bill above $111.83.

About This Procedure

HCPCS code K0903 was billed by 25 providers across 5,076 claims, totaling $143K in Medicaid payments from 2018–2024. This code was used for 4,546 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$36.39

Providers Billing

24

National Spending

$143K

Avg/Median Ratio

1.01×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for K0903

#ProviderTotal Paid
11558316851$47K
21487784948$17K
31841291200$14K
41174573307$12K
51629015904$10K
61881698678$6K
71043364003$6K
81093901100$5K
91689665911$5K
101578559332$5K
111154742328$4K
121235310343$3K
131013182971$2K
141124209820$1K
151134173529$889
161356372221$816
171922186626$614
181689613598$609
191679625560$510
201609938042$470

Showing top 20 of 25 providers billing this code

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