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#4894 of 11K

X4301

HCPCS Procedure Code

HCPCS code X4301 is the #4,894 most-billed Medicaid procedure code, with $360K in payments across 4,596 claims from 2018–2024. The national median cost per claim is $94.32.

Total Paid

$360K

0.00% of all spending

Total Claims

4,596

Providers

15

Avg Cost/Claim

$78

National Cost Distribution

How much do providers bill per claim for X4301? Based on 12 providers billing this code nationally.

Median

$94.32

Average

$85.71

Std Dev

$15.76

Max

$94.74

Percentile Distribution (Cost per Claim)

p10
$59.83
p25
$85.44
Median
$94.32
p75
$94.74
p90
$94.74
p95
$94.74
p99
$94.74

50% of providers bill between $85.44 and $94.74 per claim for this code.

90% bill between $59.83 and $94.74.

Top 1% bill above $94.74.

About This Procedure

HCPCS code X4301 was billed by 15 providers across 4,596 claims, totaling $360K in Medicaid payments from 2018–2024. This code was used for 4,588 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$94.32

Providers Billing

12

National Spending

$360K

Avg/Median Ratio

0.91×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for X4301

#ProviderTotal Paid
1Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$125K
21700804200$66K
31811946734$64K
41093959900$44K
5Regents Of The University Of California

Sacramento, CA · General Acute Care Hospital

$16K
61902846306$13K
71841207750$13K
81871610675$7K
91700949336$4K
10Children's Hospital & Research Center At Oakland

Oakland, CA · General Acute Care Hospital

$3K
111215927470$3K
121811080526$2K
13Family Health Centers Of San Diego, Inc

San Diego, CA · Clinic/Center, Federally Qualified Health Center (FQHC)

$0
141013952597$0
151982747671$0

Showing top 15 of 15 providers billing this code