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#658 of 11K

73130

HCPCS Procedure Code

HCPCS code 73130 is the #658 most-billed Medicaid procedure code, with $113.2M in payments across 6.5M claims from 2018–2024. The national median cost per claim is $10.69. Costs vary widely — the 90th percentile is $40.79 per claim, 3.8× the median.

Total Paid

$113.2M

0.01% of all spending

Total Claims

6.5M

Providers

6K

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for 73130? Based on 6K providers billing this code nationally.

Median

$10.69

Average

$18.83

Std Dev

$23.67

Max

$406.55

Percentile Distribution (Cost per Claim)

p10
$4.42
p25
$6.57
Median
$10.69
p75
$21.50
p90
$40.79
p95
$62.25
p99
$114.17

50% of providers bill between $6.57 and $21.50 per claim for this code.

90% bill between $4.42 and $40.79.

Top 1% bill above $114.17.

About This Procedure

HCPCS code 73130 was billed by 6K providers across 6.5M claims, totaling $113.2M in Medicaid payments from 2018–2024. This code was used for 5.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.69

Providers Billing

6K

National Spending

$113.2M

Avg/Median Ratio

1.76×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 73130

#ProviderTotal Paid
1University Of Kentucky

Lexington, KY · General Acute Care Hospital

$1.4M
2Yukon-kuskokwim Health Corporation

Bethel, AK · General Acute Care Hospital Rural

$1.2M
3Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$1.2M
4Alaska Native Tribal Health Consortium

Anchorage, AK · General Acute Care Hospital

$1.2M
5Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$773K
6Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$640K
7Ashland Hospital Corporation

Ashland, KY · Clinic/Center, Rural Health

$570K
8Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$547K
9Maricopa County Special Health Care District

Phoenix, AZ · General Acute Care Hospital

$541K
10United Medical Imaging Healthcare, Inc.

Los Angeles, CA · Clinic/Center, Radiology

$536K
11Pikeville Medical Center Inc

Pikeville, KY · General Acute Care Hospital

$524K
12Spartanburg Medical Center

Spartanburg, SC · Ambulance

$478K
131184828451$456K
14Kaiser Foundation Hospitals

Sacramento, CA · General Acute Care Hospital

$449K
15Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$440K
161508856535$421K
171225033814$418K
18Palomar Health

Escondido, CA · General Acute Care Hospital

$414K
19State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$373K
20Jersey City Medical Center

Jersey City, NJ · General Acute Care Hospital

$369K

Showing top 20 of 6K providers billing this code

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