91305
HCPCS Procedure Code
HCPCS code 91305 is the #6,463 most-billed Medicaid procedure code, with $63K in payments across 197K claims from 2018–2024. The national median cost per claim is $0.01. Costs vary widely — the 90th percentile is $2.35 per claim, 235.0× the median.
Total Paid
$63K
0.00% of all spending
Total Claims
197K
Providers
1K
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for 91305? Based on 207 providers billing this code nationally.
Median
$0.01
Average
$4.07
Std Dev
$31.92
Max
$401.67
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.00 and $0.14 per claim for this code.
90% bill between $0.00 and $2.35.
Top 1% bill above $25.43.
About This Procedure
HCPCS code 91305 was billed by 1K providers across 197K claims, totaling $63K in Medicaid payments from 2018–2024. This code was used for 165K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.01
Providers Billing
207
National Spending
$63K
Avg/Median Ratio
407.00×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 91305
| # | Provider | Total Paid |
|---|---|---|
| 1 | Southcoast Hospitals Group, Inc New Bedford, MA · General Acute Care Hospital | $12K |
| 2 | Cornell Scott Hill Health Corporation New Haven, CT · Psychiatry & Neurology, Child & Adolescent Psychiatry | $9K |
| 3 | 1376104125 | $8K |
| 4 | 1548267420 | $7K |
| 5 | 1275196222 | $6K |
| 6 | 1427106871 | $6K |
| 7 | 1164613857 | $3K |
| 8 | 1801835970 | $2K |
| 9 | 1356307581 | $2K |
| 10 | 1942687751 | $1K |
| 11 | 1851300149 | $897 |
| 12 | Baystate Medical Center Inc Springfield, MA · General Acute Care Hospital | $741 |
| 13 | 1972664613 | $695 |
| 14 | 1427135268 | $540 |
| 15 | 1134474059 | $381 |
| 16 | 1598215659 | $352 |
| 17 | Ochsner Clinic Foundation New Orleans, LA · General Acute Care Hospital | $334 |
| 18 | 1962565788 | $242 |
| 19 | Novant Health Medical Group, Llc Charlotte, NC · Family Medicine | $191 |
| 20 | Beth Israel Deaconess Medical Center, Inc. Boston, MA · General Acute Care Hospital | $185 |
Showing top 20 of 1K providers billing this code