#5802 of 11K

62368

HCPCS Procedure Code

HCPCS code 62368 is the #5,802 most-billed Medicaid procedure code, with $136K in payments across 4,614 claims from 2018–2024. The national median cost per claim is $18.06. Costs vary widely — the 90th percentile is $39.66 per claim, 2.2× the median.

Total Paid

$136K

0.00% of all spending

Total Claims

4,614

Providers

Avg Cost/Claim

$29

National Cost Distribution

How much do providers bill per claim for 62368? Based on 32 providers billing this code nationally.

Median

$18.06

Average

$30.46

Std Dev

$60.28

Max

$339.94

Percentile Distribution (Cost per Claim)

p10

$6.18

p25

$11.34

Median

$18.06

p75

$21.80

p90

$39.66

p95

$78.31

p99

$272.92

50% of providers bill between $11.34 and $21.80 per claim for this code.

90% bill between $6.18 and $39.66.

Top 1% bill above $272.92.

About This Procedure

HCPCS code 62368 was billed by 32 providers across 4,614 claims, totaling $136K in Medicaid payments from 2018–2024. This code was used for 2,928 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$18.06

Providers Billing

National Spending

$136K

Avg/Median Ratio

1.69×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 62368

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1144266024	$59K	$339.94	18.8× median	Top 1%
2	1669462362	$13K	$40.58	2.2× median	Top 10%
3	1396124293	$13K	$25.25	1.4× median	Above 75th
4	1992978365	$12K	$11.33	0.6× median	Below Median
5	1750316014	$7K	$21.52	1.2× median	Above Median
6	1275629313	$6K	$26.64	1.5× median	Above 75th
7	1083079941	$3K	$18.12	1.0× median	Above Median
8	1720255110	$2K	$8.78	0.5× median	Below Median
9	1497776397	$2K	$5.91	0.3× median	Below Median
10	Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology	$2K	$123.73	6.9× median	Top 10%
11	1134738735	$2K	$22.64	1.3× median	Above 75th
12	1477578201	$2K	$8.87	0.5× median	Below Median
13	1225119175	$1K	$18.01	1.0× median	Below Median
14	1184110231	$1K	$18.18	1.0× median	Above Median
15	1780845347	$1K	$8.66	0.5× median	Below Median
16	1639186760	$1K	$41.15	2.3× median	Top 10%
17	1275580318	$924	$12.00	0.7× median	Below Median
18	1104882786	$888	$17.41	1.0× median	Below Median
19	1649942848	$795	$12.61	0.7× median	Below Median
20	1770624702	$713	$16.58	0.9× median	Below Median

Showing top 20 of 32 providers billing this code

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