Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#6840 of 11K

26750

HCPCS Procedure Code

HCPCS code 26750 is the #6,840 most-billed Medicaid procedure code, with $40K in payments across 459 claims from 2018–2024. The national median cost per claim is $128.75. Costs vary widely — the 90th percentile is $337.86 per claim, 2.6× the median.

Total Paid

$40K

0.00% of all spending

Total Claims

459

Providers

9

Avg Cost/Claim

$88

National Cost Distribution

How much do providers bill per claim for 26750? Based on 9 providers billing this code nationally.

Median

$128.75

Average

$150.06

Std Dev

$114.29

Max

$344.70

Percentile Distribution (Cost per Claim)

p10
$51.73
p25
$71.37
Median
$128.75
p75
$152.65
p90
$337.86
p95
$341.28
p99
$344.02

50% of providers bill between $71.37 and $152.65 per claim for this code.

90% bill between $51.73 and $337.86.

Top 1% bill above $344.02.

About This Procedure

HCPCS code 26750 was billed by 9 providers across 459 claims, totaling $40K in Medicaid payments from 2018–2024. This code was used for 391 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$128.75

Providers Billing

9

National Spending

$40K

Avg/Median Ratio

1.17×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 26750

#ProviderTotal Paid
11942300918$10K
2The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$9K
3City Medical Of Upper East Side Pllc

New York, NY · Clinic/Center Urgent Care

$8K
4The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$5K
51720279045$3K
61407898299$2K
71871040626$2K
81093756025$2K
91902855711$928

Showing top 9 of 9 providers billing this code