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#4592 of 11K

27279

HCPCS Procedure Code

HCPCS code 27279 is the #4,592 most-billed Medicaid procedure code, with $498K in payments across 94 claims from 2018–2024. The national median cost per claim is $3,877.81. Costs vary widely — the 90th percentile is $9,760.00 per claim, 2.5× the median.

Total Paid

$498K

0.00% of all spending

Total Claims

94

Providers

4

Avg Cost/Claim

$5K

National Cost Distribution

How much do providers bill per claim for 27279? Based on 4 providers billing this code nationally.

Median

$3,877.81

Average

$4,737.57

Std Dev

$5,168.02

Max

$10,881.66

Percentile Distribution (Cost per Claim)

p10
$402.95
p25
$537.86
Median
$3,877.81
p75
$8,077.52
p90
$9,760.00
p95
$10,320.83
p99
$10,769.49

50% of providers bill between $537.86 and $8,077.52 per claim for this code.

90% bill between $402.95 and $9,760.00.

Top 1% bill above $10,769.49.

About This Procedure

HCPCS code 27279 was billed by 4 providers across 94 claims, totaling $498K in Medicaid payments from 2018–2024. This code was used for 88 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3,877.81

Providers Billing

4

National Spending

$498K

Avg/Median Ratio

1.22×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.