21026
HCPCS Procedure Code
HCPCS code 21026 is the #6,440 most-billed Medicaid procedure code, with $65K in payments across 155 claims from 2018–2024. The national median cost per claim is $1,323.25.
Total Paid
$65K
0.00% of all spending
Total Claims
155
Providers
2
Avg Cost/Claim
$417
National Cost Distribution
How much do providers bill per claim for 21026? Based on 2 providers billing this code nationally.
Median
$1,323.25
Average
$1,323.25
Std Dev
$1,540.33
Max
$2,412.43
Percentile Distribution (Cost per Claim)
50% of providers bill between $778.66 and $1,867.84 per claim for this code.
90% bill between $451.91 and $2,194.59.
Top 1% bill above $2,390.65.
About This Procedure
HCPCS code 21026 was billed by 2 providers across 155 claims, totaling $65K in Medicaid payments from 2018–2024. This code was used for 154 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1,323.25
Providers Billing
2
National Spending
$65K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.