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#6776 of 11K

0310

HCPCS Procedure Code

HCPCS code 0310 is the #6,776 most-billed Medicaid procedure code, with $43K in payments across 14K claims from 2018–2024. The national median cost per claim is $3.29. Costs vary widely — the 90th percentile is $41.19 per claim, 12.5× the median.

Total Paid

$43K

0.00% of all spending

Total Claims

14K

Providers

48

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for 0310? Based on 10 providers billing this code nationally.

Median

$3.29

Average

$16.70

Std Dev

$21.31

Max

$58.05

Percentile Distribution (Cost per Claim)

p10
$0.15
p25
$0.26
Median
$3.29
p75
$31.47
p90
$41.19
p95
$49.62
p99
$56.37

50% of providers bill between $0.26 and $31.47 per claim for this code.

90% bill between $0.15 and $41.19.

Top 1% bill above $56.37.

About This Procedure

HCPCS code 0310 was billed by 48 providers across 14K claims, totaling $43K in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.29

Providers Billing

10

National Spending

$43K

Avg/Median Ratio

5.08×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0310

#ProviderTotal Paid
11760510937$30K
21881760452$4K
31639101116$4K
41639523004$2K
51578529285$1K
6Palomar Health

Escondido, CA · General Acute Care Hospital

$813
7County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$309
8Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$258
91114367497$50
101780742981$35
111750503017$0
121093892275$0
13Antelope Valley Health Care District

Lancaster, CA · General Acute Care Hospital

$0
14University Of California Irvine

Orange, CA · General Acute Care Hospital

$0
15Desert Valley Hospital Llc

Victorville, CA · General Acute Care Hospital

$0
161740215219$0
171194840421$0
181477587632$0
191811080526$0
201740222934$0

Showing top 20 of 48 providers billing this code