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#3763 of 11K

X4303

HCPCS Procedure Code

HCPCS code X4303 is the #3,763 most-billed Medicaid procedure code, with $1.2M in payments across 20K claims from 2018–2024. The national median cost per claim is $63.94.

Total Paid

$1.2M

0.00% of all spending

Total Claims

20K

Providers

11

Avg Cost/Claim

$61

National Cost Distribution

How much do providers bill per claim for X4303? Based on 11 providers billing this code nationally.

Median

$63.94

Average

$55.23

Std Dev

$11.33

Max

$64.89

Percentile Distribution (Cost per Claim)

p10
$40.55
p25
$42.98
Median
$63.94
p75
$64.75
p90
$64.86
p95
$64.88
p99
$64.89

50% of providers bill between $42.98 and $64.75 per claim for this code.

90% bill between $40.55 and $64.86.

Top 1% bill above $64.89.

About This Procedure

HCPCS code X4303 was billed by 11 providers across 20K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 8,632 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$63.94

Providers Billing

11

National Spending

$1.2M

Avg/Median Ratio

0.86×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for X4303

#ProviderTotal Paid
1Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$502K
21477596583$297K
3Children's Hospital & Research Center At Oakland

Oakland, CA · General Acute Care Hospital

$115K
4Loma Linda University Children's Hospital

Loma Linda, CA · General Acute Care Hospital Children

$105K
51710065933$91K
61962682690$54K
71215993704$19K
8County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$13K
91710260179$7K
101952998973$3K
111407813660$1K

Showing top 11 of 11 providers billing this code