00069
HCPCS Procedure Code
HCPCS code 00069 is the #600 most-billed Medicaid procedure code, with $132.2M in payments across 212K claims from 2018–2024. The national median cost per claim is $448.80.
Total Paid
$132.2M
0.01% of all spending
Total Claims
212K
Providers
3
Avg Cost/Claim
$624
National Cost Distribution
How much do providers bill per claim for 00069? Based on 3 providers billing this code nationally.
Median
$448.80
Average
$589.79
Std Dev
$309.22
Max
$944.39
Percentile Distribution (Cost per Claim)
50% of providers bill between $412.50 and $696.59 per claim for this code.
90% bill between $390.72 and $845.27.
Top 1% bill above $934.48.
About This Procedure
HCPCS code 00069 was billed by 3 providers across 212K claims, totaling $132.2M in Medicaid payments from 2018–2024. This code was used for 203K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$448.80
Providers Billing
3
National Spending
$132.2M
Avg/Median Ratio
1.31×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.