94003
HCPCS Procedure Code
HCPCS code 94003 is the #3,920 most-billed Medicaid procedure code, with $1.0M in payments across 41K claims from 2018–2024. The national median cost per claim is $23.90.
Total Paid
$1.0M
0.00% of all spending
Total Claims
41K
Providers
52
Avg Cost/Claim
$25
National Cost Distribution
How much do providers bill per claim for 94003? Based on 51 providers billing this code nationally.
Median
$23.90
Average
$30.92
Std Dev
$36.59
Max
$249.59
Percentile Distribution (Cost per Claim)
50% of providers bill between $17.44 and $28.91 per claim for this code.
90% bill between $13.48 and $46.31.
Top 1% bill above $190.32.
About This Procedure
HCPCS code 94003 was billed by 52 providers across 41K claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 7K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$23.90
Providers Billing
51
National Spending
$1.0M
Avg/Median Ratio
1.29×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 94003
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1215993233 | $161K |
| 2 | 1154328185 | $148K |
| 3 | 1346317724 | $80K |
| 4 | 1407875180 | $71K |
| 5 | 1891708608 | $62K |
| 6 | 1699053637 | $57K |
| 7 | 1790815082 | $52K |
| 8 | 1023190063 | $45K |
| 9 | 1073632261 | $42K |
| 10 | 1235131046 | $34K |
| 11 | 1790737781 | $25K |
| 12 | University Of Wisconsin Hospitals And Clinics Authority Madison, WI · General Acute Care Hospital | $23K |
| 13 | 1760478754 | $21K |
| 14 | 1649257593 | $21K |
| 15 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $20K |
| 16 | 1982679346 | $18K |
| 17 | 1023121167 | $16K |
| 18 | 1205846789 | $15K |
| 19 | 1891882098 | $11K |
| 20 | 1053310540 | $9K |
Showing top 20 of 52 providers billing this code