0305
HCPCS Procedure Code
HCPCS code 0305 is the #4,451 most-billed Medicaid procedure code, with $583K in payments across 298K claims from 2018–2024. The national median cost per claim is $0.46. Costs vary widely — the 90th percentile is $34.92 per claim, 75.9× the median.
Total Paid
$583K
0.00% of all spending
Total Claims
298K
Providers
160
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for 0305? Based on 71 providers billing this code nationally.
Median
$0.46
Average
$22.28
Std Dev
$73.33
Max
$476.31
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.04 and $6.28 per claim for this code.
90% bill between $0.01 and $34.92.
Top 1% bill above $400.41.
About This Procedure
HCPCS code 0305 was billed by 160 providers across 298K claims, totaling $583K in Medicaid payments from 2018–2024. This code was used for 231K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.46
Providers Billing
71
National Spending
$583K
Avg/Median Ratio
48.43×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0305
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1194711952 | $131K |
| 2 | 1760510937 | $73K |
| 3 | 1639523004 | $66K |
| 4 | 1710065933 | $54K |
| 5 | 1295181477 | $28K |
| 6 | 1578529285 | $27K |
| 7 | 1659439834 | $25K |
| 8 | 1265468946 | $25K |
| 9 | Regents Of The University Of California Sacramento, CA · General Acute Care Hospital | $23K |
| 10 | 1639172372 | $14K |
| 11 | 1124004304 | $14K |
| 12 | 1881760452 | $13K |
| 13 | 1477554152 | $11K |
| 14 | 1972541498 | $10K |
| 15 | Kaiser Foundation Health Plan Inc Oakland, CA · Health Maintenance Organization | $10K |
| 16 | 1902803315 | $10K |
| 17 | 1245371343 | $8K |
| 18 | 1902844988 | $6K |
| 19 | 1528263746 | $5K |
| 20 | 1811080526 | $4K |
Showing top 20 of 160 providers billing this code