X4003
HCPCS Procedure Code
HCPCS code X4003 is the #762 most-billed Medicaid procedure code, with $86.7M in payments across 1.0M claims from 2018–2024. The national median cost per claim is $74.03. Costs vary widely — the 90th percentile is $179.78 per claim, 2.4× the median.
Total Paid
$86.7M
0.01% of all spending
Total Claims
1.0M
Providers
75
Avg Cost/Claim
$86
National Cost Distribution
How much do providers bill per claim for X4003? Based on 75 providers billing this code nationally.
Median
$74.03
Average
$111.09
Std Dev
$130.60
Max
$834.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $55.03 and $120.29 per claim for this code.
90% bill between $36.99 and $179.78.
Top 1% bill above $752.79.
About This Procedure
HCPCS code X4003 was billed by 75 providers across 1.0M claims, totaling $86.7M in Medicaid payments from 2018–2024. This code was used for 882K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$74.03
Providers Billing
75
National Spending
$86.7M
Avg/Median Ratio
1.50×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for X4003
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Children's Mercy Hospital Kansas City, MO · General Acute Care Hospital Children | $24.3M |
| 2 | Truman Medical Center, Incorporated Kansas City, MO · General Acute Care Hospital | $9.2M |
| 3 | Curators Of The University Of Missouri Columbia, MO · General Acute Care Hospital | $7.8M |
| 4 | 1437259694 | $6.0M |
| 5 | 1962572396 | $3.5M |
| 6 | 1265546048 | $3.5M |
| 7 | 1568643005 | $3.3M |
| 8 | 1376686600 | $3.2M |
| 9 | 1912109919 | $2.9M |
| 10 | 1649299827 | $2.8M |
| 11 | 1952629370 | $2.5M |
| 12 | 1467412726 | $1.7M |
| 13 | 1508935891 | $1.7M |
| 14 | 1093740128 | $1.6M |
| 15 | 1538200357 | $1.5M |
| 16 | 1871698472 | $1.3M |
| 17 | 1598835308 | $1.3M |
| 18 | 1831115641 | $1.3M |
| 19 | 1578504056 | $589K |
| 20 | 1831269539 | $450K |
Showing top 20 of 75 providers billing this code