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#1227 of 11K

58300

HCPCS Procedure Code

HCPCS code 58300 is the #1,227 most-billed Medicaid procedure code, with $32.5M in payments across 354K claims from 2018–2024. The national median cost per claim is $74.77. Costs vary widely — the 90th percentile is $156.65 per claim, 2.1× the median.

Total Paid

$32.5M

0.00% of all spending

Total Claims

354K

Providers

773

Avg Cost/Claim

$92

National Cost Distribution

How much do providers bill per claim for 58300? Based on 718 providers billing this code nationally.

Median

$74.77

Average

$89.37

Std Dev

$96.73

Max

$1,315.35

Percentile Distribution (Cost per Claim)

p10
$19.16
p25
$44.34
Median
$74.77
p75
$102.82
p90
$156.65
p95
$211.18
p99
$407.64

50% of providers bill between $44.34 and $102.82 per claim for this code.

90% bill between $19.16 and $156.65.

Top 1% bill above $407.64.

About This Procedure

HCPCS code 58300 was billed by 773 providers across 354K claims, totaling $32.5M in Medicaid payments from 2018–2024. This code was used for 264K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$74.77

Providers Billing

718

National Spending

$32.5M

Avg/Median Ratio

1.20×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 58300

#ProviderTotal Paid
1Planned Parenthood/orange And San Bernardino Counties, Inc.

Orange, CA · Clinic/Center, Ambulatory Family Planning Facility

$4.0M
21417959701$1.6M
31487749495$672K
4Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$642K
5Cambridge Public Health Commission

Cambridge, MA · General Acute Care Hospital

$518K
6Brigham & Womens Hospital Inc.

Boston, MA · General Acute Care Hospital

$488K
71730136680$461K
81821095779$446K
91285701672$428K
10Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$405K
111043304769$401K
12Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$400K
131497847487$398K
141760756860$387K
15Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$385K
16Baystate Medical Center Inc

Springfield, MA · General Acute Care Hospital

$366K
17Beth Israel Deaconess Medical Center, Inc.

Boston, MA · General Acute Care Hospital

$357K
181083700686$356K
191982798831$346K
201497780480$342K

Showing top 20 of 773 providers billing this code

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