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#5211 of 11K

0307

HCPCS Procedure Code

HCPCS code 0307 is the #5,211 most-billed Medicaid procedure code, with $261K in payments across 177K claims from 2018–2024. The national median cost per claim is $1.09. Costs vary widely — the 90th percentile is $3.23 per claim, 3.0× the median.

Total Paid

$261K

0.00% of all spending

Total Claims

177K

Providers

116

Avg Cost/Claim

$1

National Cost Distribution

How much do providers bill per claim for 0307? Based on 62 providers billing this code nationally.

Median

$1.09

Average

$2.28

Std Dev

$5.19

Max

$30.10

Percentile Distribution (Cost per Claim)

p10
$0.01
p25
$0.05
Median
$1.09
p75
$2.48
p90
$3.23
p95
$7.75
p99
$28.12

50% of providers bill between $0.05 and $2.48 per claim for this code.

90% bill between $0.01 and $3.23.

Top 1% bill above $28.12.

About This Procedure

HCPCS code 0307 was billed by 116 providers across 177K claims, totaling $261K in Medicaid payments from 2018–2024. This code was used for 153K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.09

Providers Billing

62

National Spending

$261K

Avg/Median Ratio

2.09×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0307

#ProviderTotal Paid
11174859425$66K
21548648801$37K
31760510937$27K
41447277355$21K
51174911317$16K
61194711952$14K
71124045158$14K
81710065933$8K
91871010280$8K
101891118147$7K
111841217866$7K
121275553257$5K
131275550295$5K
141326065103$4K
151639523004$3K
161578529285$3K
171124045042$2K
181265468946$2K
191003462102$2K
201801366711$2K

Showing top 20 of 116 providers billing this code