0353U
HCPCS Procedure Code
HCPCS code 0353U is the #4,526 most-billed Medicaid procedure code, with $533K in payments across 39K claims from 2018–2024. The national median cost per claim is $4.92. Costs vary widely — the 90th percentile is $58.31 per claim, 11.9× the median.
Total Paid
$533K
0.00% of all spending
Total Claims
39K
Providers
109
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for 0353U? Based on 64 providers billing this code nationally.
Median
$4.92
Average
$21.53
Std Dev
$35.37
Max
$219.19
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.68 and $34.00 per claim for this code.
90% bill between $0.07 and $58.31.
Top 1% bill above $145.62.
About This Procedure
HCPCS code 0353U was billed by 109 providers across 39K claims, totaling $533K in Medicaid payments from 2018–2024. This code was used for 36K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4.92
Providers Billing
64
National Spending
$533K
Avg/Median Ratio
4.38×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0353U
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1467442418 | $75K |
| 2 | 1508856535 | $74K |
| 3 | 1245221050 | $58K |
| 4 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $44K |
| 5 | 1457347239 | $38K |
| 6 | 1467448498 | $33K |
| 7 | 1548291891 | $30K |
| 8 | 1437171568 | $25K |
| 9 | 1245326255 | $17K |
| 10 | 1962594622 | $17K |
| 11 | 1972517365 | $14K |
| 12 | 1134168263 | $13K |
| 13 | 1477876514 | $12K |
| 14 | 1235218785 | $11K |
| 15 | 1396731105 | $10K |
| 16 | 1881630036 | $7K |
| 17 | 1023013448 | $6K |
| 18 | 1982607115 | $6K |
| 19 | Florida Clinical Practice Association Inc Gainesville, FL · Surgery | $5K |
| 20 | 1073580726 | $5K |
Showing top 20 of 109 providers billing this code