36216
HCPCS Procedure Code
HCPCS code 36216 is the #7,880 most-billed Medicaid procedure code, with $9K in payments across 141 claims from 2018–2024. The national median cost per claim is $59.41. Costs vary widely — the 90th percentile is $119.45 per claim, 2.0× the median.
Total Paid
$9K
0.00% of all spending
Total Claims
141
Providers
3
Avg Cost/Claim
$62
National Cost Distribution
How much do providers bill per claim for 36216? Based on 3 providers billing this code nationally.
Median
$59.41
Average
$67.44
Std Dev
$63.38
Max
$134.46
Percentile Distribution (Cost per Claim)
50% of providers bill between $33.94 and $96.94 per claim for this code.
90% bill between $18.65 and $119.45.
Top 1% bill above $132.96.
About This Procedure
HCPCS code 36216 was billed by 3 providers across 141 claims, totaling $9K in Medicaid payments from 2018–2024. This code was used for 137 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$59.41
Providers Billing
3
National Spending
$9K
Avg/Median Ratio
1.14×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.