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

#3956 of 11K

62270

HCPCS Procedure Code

HCPCS code 62270 is the #3,956 most-billed Medicaid procedure code, with $980K in payments across 9,664 claims from 2018–2024. The national median cost per claim is $48.88. Costs vary widely — the 90th percentile is $304.11 per claim, 6.2× the median.

Total Paid

$980K

0.00% of all spending

Total Claims

9,664

Providers

80

Avg Cost/Claim

$101

National Cost Distribution

How much do providers bill per claim for 62270? Based on 77 providers billing this code nationally.

Median

$48.88

Average

$125.25

Std Dev

$140.14

Max

$730.26

Percentile Distribution (Cost per Claim)

p10
$22.08
p25
$37.98
Median
$48.88
p75
$167.96
p90
$304.11
p95
$359.39
p99
$604.14

50% of providers bill between $37.98 and $167.96 per claim for this code.

90% bill between $22.08 and $304.11.

Top 1% bill above $604.14.

About This Procedure

HCPCS code 62270 was billed by 80 providers across 9,664 claims, totaling $980K in Medicaid payments from 2018–2024. This code was used for 8,761 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$48.88

Providers Billing

77

National Spending

$980K

Avg/Median Ratio

2.56×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 62270

#ProviderTotal Paid
1University Of Kentucky

Lexington, KY · General Acute Care Hospital

$111K
2Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$90K
3Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$77K
4Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$74K
5State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$64K
6Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$61K
71811920549$59K
8Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$53K
9Suny Health Science Center At Syracuse

Syracuse, NY · General Acute Care Hospital

$43K
10Dignity Health

Phoenix, AZ · Rehabilitation Unit

$43K
11Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$31K
121740283324$21K
131508942681$20K
14William Beaumont Hospital

Royal Oak, MI · Internal Medicine, Cardiovascular Disease

$20K
151679529978$15K
161093756025$13K
17Maimonides Medical Center

Brooklyn, NY · General Acute Care Hospital

$11K
181225041809$11K
19Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$9K
20Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$9K

Showing top 20 of 80 providers billing this code

Related Procedures