0301
HCPCS Procedure Code
HCPCS code 0301 is the #2,028 most-billed Medicaid procedure code, with $9.8M in payments across 872K claims from 2018–2024. The national median cost per claim is $11.15. Costs vary widely — the 90th percentile is $123.16 per claim, 11.0× the median.
Total Paid
$9.8M
0.00% of all spending
Total Claims
872K
Providers
224
Avg Cost/Claim
$11
National Cost Distribution
How much do providers bill per claim for 0301? Based on 148 providers billing this code nationally.
Median
$11.15
Average
$44.58
Std Dev
$83.91
Max
$619.72
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.15 and $53.36 per claim for this code.
90% bill between $0.32 and $123.16.
Top 1% bill above $411.65.
About This Procedure
HCPCS code 0301 was billed by 224 providers across 872K claims, totaling $9.8M in Medicaid payments from 2018–2024. This code was used for 452K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.15
Providers Billing
148
National Spending
$9.8M
Avg/Median Ratio
4.00×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0301
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1194840421 | $1.8M |
| 2 | 1114081056 | $1.2M |
| 3 | 1417089350 | $974K |
| 4 | 1114367497 | $802K |
| 5 | 1194711952 | $754K |
| 6 | 1760510937 | $410K |
| 7 | 1710065933 | $261K |
| 8 | 1003462102 | $250K |
| 9 | 1477610640 | $175K |
| 10 | 1962442012 | $170K |
| 11 | 1639523004 | $165K |
| 12 | Regents Of The University Of California Sacramento, CA · General Acute Care Hospital | $137K |
| 13 | 1407813660 | $128K |
| 14 | 1922033547 | $127K |
| 15 | 1871010280 | $125K |
| 16 | 1902803315 | $115K |
| 17 | 1750491247 | $115K |
| 18 | 1265468946 | $113K |
| 19 | 1174911317 | $101K |
| 20 | Antelope Valley Health Care District Lancaster, CA · General Acute Care Hospital | $95K |
Showing top 20 of 224 providers billing this code