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#6440 of 11K

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)

p10
$451.91
p25
$778.66
Median
$1,323.25
p75
$1,867.84
p90
$2,194.59
p95
$2,303.51
p99
$2,390.65

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.