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#5217 of 11K

X4304

HCPCS Procedure Code

HCPCS code X4304 is the #5,217 most-billed Medicaid procedure code, with $260K in payments across 21K claims from 2018–2024. The national median cost per claim is $32.30.

Total Paid

$260K

0.00% of all spending

Total Claims

21K

Providers

16

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for X4304? Based on 7 providers billing this code nationally.

Median

$32.30

Average

$29.71

Std Dev

$4.79

Max

$32.46

Percentile Distribution (Cost per Claim)

p10
$23.64
p25
$29.03
Median
$32.30
p75
$32.39
p90
$32.46
p95
$32.46
p99
$32.46

50% of providers bill between $29.03 and $32.39 per claim for this code.

90% bill between $23.64 and $32.46.

Top 1% bill above $32.46.

About This Procedure

HCPCS code X4304 was billed by 16 providers across 21K claims, totaling $260K in Medicaid payments from 2018–2024. This code was used for 9,286 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$32.30

Providers Billing

7

National Spending

$260K

Avg/Median Ratio

0.92×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for X4304

#ProviderTotal Paid
11710065933$99K
21841207750$62K
3Loma Linda University Children's Hospital

Loma Linda, CA · General Acute Care Hospital Children

$35K
41215993704$32K
5Children's Hospital & Research Center At Oakland

Oakland, CA · General Acute Care Hospital

$17K
61700949336$13K
71851787295$649
81346480837$0
9Family Health Centers Of San Diego Inc

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

$0
101932561198$0
11Family Health Centers Of San Diego, Inc

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

$0
121700821303$0
131104861681$0
141508801069$0
151013952597$0
161982747671$0

Showing top 16 of 16 providers billing this code