73100
HCPCS Procedure Code
HCPCS code 73100 is the #1,876 most-billed Medicaid procedure code, with $12.3M in payments across 634K claims from 2018–2024. The national median cost per claim is $13.37. Costs vary widely — the 90th percentile is $40.45 per claim, 3.0× the median.
Total Paid
$12.3M
0.00% of all spending
Total Claims
634K
Providers
1K
Avg Cost/Claim
$19
National Cost Distribution
How much do providers bill per claim for 73100? Based on 1K providers billing this code nationally.
Median
$13.37
Average
$20.31
Std Dev
$25.86
Max
$392.64
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.41 and $23.79 per claim for this code.
90% bill between $4.22 and $40.45.
Top 1% bill above $127.53.
About This Procedure
HCPCS code 73100 was billed by 1K providers across 634K claims, totaling $12.3M in Medicaid payments from 2018–2024. This code was used for 505K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.37
Providers Billing
1K
National Spending
$12.3M
Avg/Median Ratio
1.52×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 73100
| # | Provider | Total Paid |
|---|---|---|
| 1 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $475K |
| 2 | Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children | $425K |
| 3 | Texas Children's Hospital Houston, TX · General Acute Care Hospital Children | $408K |
| 4 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $402K |
| 5 | The Children's Mercy Hospital Kansas City, MO · General Acute Care Hospital Children | $391K |
| 6 | Variety Children's Hospital Miami, FL · General Acute Care Hospital Children | $327K |
| 7 | Driscoll Childrens Hospital Corpus Christi, TX · Speech-Language Pathologist, | $298K |
| 8 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $260K |
| 9 | 1700949336 | $230K |
| 10 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $227K |
| 11 | Children's Hospital Corporation Boston, MA · Clinic/Center | $219K |
| 12 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $196K |
| 13 | 1346297843 | $178K |
| 14 | Cook Children's Physician Network Fort Worth, TX · Medical Genetics, Clinical Genetics (M.D.) | $170K |
| 15 | 1053402040 | $163K |
| 16 | 1841573870 | $159K |
| 17 | 1700865094 | $148K |
| 18 | 1437627031 | $147K |
| 19 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $144K |
| 20 | 1942300918 | $130K |
Showing top 20 of 1K providers billing this code