00103
HCPCS Procedure Code
HCPCS code 00103 is the #5,635 most-billed Medicaid procedure code, with $164K in payments across 3K claims from 2018–2024. The national median cost per claim is $78.28. Costs vary widely — the 90th percentile is $163.44 per claim, 2.1× the median.
Total Paid
$164K
0.00% of all spending
Total Claims
3K
Providers
23
Avg Cost/Claim
$56
National Cost Distribution
How much do providers bill per claim for 00103? Based on 22 providers billing this code nationally.
Median
$78.28
Average
$92.36
Std Dev
$61.45
Max
$253.78
Percentile Distribution (Cost per Claim)
50% of providers bill between $42.90 and $130.79 per claim for this code.
90% bill between $35.85 and $163.44.
Top 1% bill above $241.01.
About This Procedure
HCPCS code 00103 was billed by 23 providers across 3K claims, totaling $164K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$78.28
Providers Billing
22
National Spending
$164K
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 00103
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1760646558 | $48K |
| 2 | 1922297761 | $34K |
| 3 | 1972126209 | $14K |
| 4 | 1053354233 | $11K |
| 5 | 1710962865 | $10K |
| 6 | 1003479403 | $8K |
| 7 | 1063710689 | $7K |
| 8 | 1356444897 | $5K |
| 9 | 1487609475 | $5K |
| 10 | 1124192943 | $4K |
| 11 | 1649306218 | $4K |
| 12 | 1437326857 | $3K |
| 13 | 1346267267 | $2K |
| 14 | 1073658027 | $2K |
| 15 | 1154815264 | $1K |
| 16 | 1134381007 | $1K |
| 17 | 1093767766 | $1K |
| 18 | 1427093863 | $982 |
| 19 | 1245338573 | $969 |
| 20 | 1992726855 | $910 |
Showing top 20 of 23 providers billing this code