59430
HCPCS Procedure Code
HCPCS code 59430 is the #781 most-billed Medicaid procedure code, with $81.7M in payments across 974K claims from 2018–2024. The national median cost per claim is $80.32. Costs vary widely — the 90th percentile is $184.05 per claim, 2.3× the median.
Total Paid
$81.7M
0.01% of all spending
Total Claims
974K
Providers
2K
Avg Cost/Claim
$84
National Cost Distribution
How much do providers bill per claim for 59430? Based on 2K providers billing this code nationally.
Median
$80.32
Average
$91.13
Std Dev
$62.28
Max
$440.10
Percentile Distribution (Cost per Claim)
50% of providers bill between $50.15 and $119.68 per claim for this code.
90% bill between $18.54 and $184.05.
Top 1% bill above $270.21.
About This Procedure
HCPCS code 59430 was billed by 2K providers across 974K claims, totaling $81.7M in Medicaid payments from 2018–2024. This code was used for 867K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$80.32
Providers Billing
2K
National Spending
$81.7M
Avg/Median Ratio
1.13×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 59430
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1235177924 | $3.7M |
| 2 | 1386823243 | $1.1M |
| 3 | 1669422234 | $928K |
| 4 | 1093145377 | $732K |
| 5 | Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA · Oral & Maxillofacial Surgery | $718K |
| 6 | 1891803904 | $689K |
| 7 | 1417961137 | $638K |
| 8 | William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease | $638K |
| 9 | 1114025749 | $631K |
| 10 | 1013902923 | $625K |
| 11 | Utmb Faculty Group Practice Galveston, TX · Anesthesiology | $607K |
| 12 | 1790856235 | $603K |
| 13 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $603K |
| 14 | 1073827101 | $585K |
| 15 | 1992040166 | $575K |
| 16 | University Of Texas Medical Branch At Galveston Galveston, TX · Clinic/Center, Ambulatory Surgical | $570K |
| 17 | 1639104854 | $510K |
| 18 | 1922210517 | $504K |
| 19 | 1528113032 | $481K |
| 20 | 1063659134 | $455K |
Showing top 20 of 2K providers billing this code