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#4862 of 11K

0350

HCPCS Procedure Code

HCPCS code 0350 is the #4,862 most-billed Medicaid procedure code, with $369K in payments across 15K claims from 2018–2024. The national median cost per claim is $6.05. Costs vary widely — the 90th percentile is $211.47 per claim, 35.0× the median.

Total Paid

$369K

0.00% of all spending

Total Claims

15K

Providers

32

Avg Cost/Claim

$25

National Cost Distribution

How much do providers bill per claim for 0350? Based on 14 providers billing this code nationally.

Median

$6.05

Average

$89.59

Std Dev

$186.19

Max

$684.07

Percentile Distribution (Cost per Claim)

p10
$0.80
p25
$1.17
Median
$6.05
p75
$102.89
p90
$211.47
p95
$398.82
p99
$627.02

50% of providers bill between $1.17 and $102.89 per claim for this code.

90% bill between $0.80 and $211.47.

Top 1% bill above $627.02.

About This Procedure

HCPCS code 0350 was billed by 32 providers across 15K claims, totaling $369K in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.05

Providers Billing

14

National Spending

$369K

Avg/Median Ratio

14.81×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0350

#ProviderTotal Paid
1Palomar Health

Escondido, CA · General Acute Care Hospital

$250K
21396778197$83K
3Kaiser Foundation Health Plan Inc

Oakland, CA · Health Maintenance Organization

$13K
4University Of California Irvine

Orange, CA · General Acute Care Hospital

$10K
51942247291$6K
61639101116$3K
71932197258$1K
81477587632$1K
91336328244$890
101821250762$539
111336173269$503
12County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$230
131538141627$103
141508859323$97
151215927470$0
161184654923$0
171023010113$0
181508856535$0
191700817756$0
201831188275$0

Showing top 20 of 32 providers billing this code