OP370
HCPCS Procedure Code
HCPCS code OP370 is the #1,120 most-billed Medicaid procedure code, with $39.5M in payments across 402K claims from 2018–2024. The national median cost per claim is $82.47. Costs vary widely — the 90th percentile is $182.16 per claim, 2.2× the median.
Total Paid
$39.5M
0.00% of all spending
Total Claims
402K
Providers
70
Avg Cost/Claim
$98
National Cost Distribution
How much do providers bill per claim for OP370? Based on 66 providers billing this code nationally.
Median
$82.47
Average
$101.72
Std Dev
$102.29
Max
$707.47
Percentile Distribution (Cost per Claim)
50% of providers bill between $49.17 and $125.70 per claim for this code.
90% bill between $18.37 and $182.16.
Top 1% bill above $501.12.
About This Procedure
HCPCS code OP370 was billed by 70 providers across 402K claims, totaling $39.5M in Medicaid payments from 2018–2024. This code was used for 363K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$82.47
Providers Billing
66
National Spending
$39.5M
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for OP370
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Hospital Newark, NJ · General Acute Care Hospital | $6.9M |
| 2 | Kennedy University Hospital Inc. Stratford, NJ · General Acute Care Hospital | $3.3M |
| 3 | Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital | $3.1M |
| 4 | 1568825545 | $2.4M |
| 5 | Jersey City Medical Center Jersey City, NJ · General Acute Care Hospital | $2.1M |
| 6 | Hmh Hospitals Corporation Neptune, NJ · General Acute Care Hospital | $1.8M |
| 7 | Ahs Hospital Corp. Morristown, NJ · General Acute Care Hospital | $1.7M |
| 8 | Robert Wood Johnson University Hospital, Inc New Brunswick, NJ · General Acute Care Hospital | $1.6M |
| 9 | Saint Peter's University Hospital New Brunswick, NJ · General Acute Care Hospital | $1000K |
| 10 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $978K |
| 11 | Virtua - West Jersey Health System Inc. Voorhees, NJ · General Acute Care Hospital | $952K |
| 12 | 1609983790 | $891K |
| 13 | Atlanticare Regional Medical Center Pomona, NJ · General Acute Care Hospital | $830K |
| 14 | Cooperman Barnabas Medical Center Inc Livingston, NJ · General Acute Care Hospital | $767K |
| 15 | Hmh Hospitals Corporation Edison, NJ · General Acute Care Hospital | $698K |
| 16 | 1730692344 | $688K |
| 17 | 1134125016 | $654K |
| 18 | 1770901761 | $653K |
| 19 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $564K |
| 20 | 1235134024 | $513K |
Showing top 20 of 70 providers billing this code