H0003
HCPCS Procedure Code
HCPCS code H0003 is the #759 most-billed Medicaid procedure code, with $87.3M in payments across 2.4M claims from 2018–2024. The national median cost per claim is $13.38. Costs vary widely — the 90th percentile is $74.67 per claim, 5.6× the median.
Total Paid
$87.3M
0.01% of all spending
Total Claims
2.4M
Providers
458
Avg Cost/Claim
$36
National Cost Distribution
How much do providers bill per claim for H0003? Based on 410 providers billing this code nationally.
Median
$13.38
Average
$25.36
Std Dev
$29.42
Max
$207.85
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.50 and $32.58 per claim for this code.
90% bill between $4.50 and $74.67.
Top 1% bill above $80.72.
About This Procedure
HCPCS code H0003 was billed by 458 providers across 2.4M claims, totaling $87.3M in Medicaid payments from 2018–2024. This code was used for 1.1M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.38
Providers Billing
410
National Spending
$87.3M
Avg/Median Ratio
1.90×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for H0003
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1629282470 | $23.9M |
| 2 | 1790837128 | $5.0M |
| 3 | 1467503193 | $4.4M |
| 4 | 1801947965 | $4.3M |
| 5 | 1003150004 | $3.9M |
| 6 | 1336247139 | $3.6M |
| 7 | 1881131761 | $3.5M |
| 8 | 1720356314 | $3.4M |
| 9 | 1265922660 | $3.4M |
| 10 | 1780158261 | $3.2M |
| 11 | 1912062068 | $2.8M |
| 12 | 1649326737 | $2.6M |
| 13 | 1740651330 | $2.2M |
| 14 | 1700250784 | $2.0M |
| 15 | 1417099417 | $1.6M |
| 16 | 1013572353 | $1.5M |
| 17 | 1992126452 | $1.4M |
| 18 | 1346620952 | $1.3M |
| 19 | 1558493916 | $1.2M |
| 20 | 1689892473 | $880K |
Showing top 20 of 458 providers billing this code