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#3920 of 11K

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)

p10
$13.48
p25
$17.44
Median
$23.90
p75
$28.91
p90
$46.31
p95
$57.52
p99
$190.32

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

#ProviderTotal Paid
11215993233$161K
21154328185$148K
31346317724$80K
41407875180$71K
51891708608$62K
61699053637$57K
71790815082$52K
81023190063$45K
91073632261$42K
101235131046$34K
111790737781$25K
12University Of Wisconsin Hospitals And Clinics Authority

Madison, WI · General Acute Care Hospital

$23K
131760478754$21K
141649257593$21K
15Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$20K
161982679346$18K
171023121167$16K
181205846789$15K
191891882098$11K
201053310540$9K

Showing top 20 of 52 providers billing this code