Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#4281 of 11K

W0003

HCPCS Procedure Code

HCPCS code W0003 is the #4,281 most-billed Medicaid procedure code, with $695K in payments across 6,354 claims from 2018–2024. The national median cost per claim is $109.34.

Total Paid

$695K

0.00% of all spending

Total Claims

6,354

Providers

1

Avg Cost/Claim

$109

National Cost Distribution

How much do providers bill per claim for W0003? Based on 1 providers billing this code nationally.

Median

$109.34

Average

$109.34

Std Dev

Max

$109.34

Percentile Distribution (Cost per Claim)

p10
$109.34
p25
$109.34
Median
$109.34
p75
$109.34
p90
$109.34
p95
$109.34
p99
$109.34

50% of providers bill between $109.34 and $109.34 per claim for this code.

90% bill between $109.34 and $109.34.

Top 1% bill above $109.34.

About This Procedure

HCPCS code W0003 was billed by 1 providers across 6,354 claims, totaling $695K in Medicaid payments from 2018–2024. This code was used for 6,137 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$109.34

Providers Billing

1

National Spending

$695K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

Related Procedures