P9603
HCPCS Procedure Code
HCPCS code P9603 is the #2,766 most-billed Medicaid procedure code, with $3.8M in payments across 6.3M claims from 2018–2024. The national median cost per claim is $0.33. Costs vary widely — the 90th percentile is $4.23 per claim, 12.8× the median.
Total Paid
$3.8M
0.00% of all spending
Total Claims
6.3M
Providers
353
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for P9603? Based on 246 providers billing this code nationally.
Median
$0.33
Average
$1.74
Std Dev
$5.02
Max
$57.82
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.06 and $1.31 per claim for this code.
90% bill between $0.01 and $4.23.
Top 1% bill above $19.04.
About This Procedure
HCPCS code P9603 was billed by 353 providers across 6.3M claims, totaling $3.8M in Medicaid payments from 2018–2024. This code was used for 3.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.33
Providers Billing
246
National Spending
$3.8M
Avg/Median Ratio
5.27×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for P9603
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1780001859 | $607K |
| 2 | 1174251185 | $478K |
| 3 | 1790101681 | $335K |
| 4 | 1659373900 | $308K |
| 5 | 1720378524 | $240K |
| 6 | Centers Lab Nj Llc Cedar Knolls, NJ · Clinical Medical Laboratory | $180K |
| 7 | 1447345830 | $173K |
| 8 | 1760414221 | $114K |
| 9 | 1598106163 | $110K |
| 10 | 1669808853 | $108K |
| 11 | 1093756157 | $99K |
| 12 | 1609963834 | $56K |
| 13 | 1154515377 | $52K |
| 14 | 1801523212 | $51K |
| 15 | 1033281324 | $44K |
| 16 | 1952516916 | $40K |
| 17 | 1740361690 | $38K |
| 18 | Dx Solutions, Llc Nicholasville, KY · Clinical Medical Laboratory | $38K |
| 19 | 1528653334 | $37K |
| 20 | 1659322360 | $33K |
Showing top 20 of 353 providers billing this code