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#3092 of 11K

62369

HCPCS Procedure Code

HCPCS code 62369 is the #3,092 most-billed Medicaid procedure code, with $2.5M in payments across 52K claims from 2018–2024. The national median cost per claim is $29.13. Costs vary widely — the 90th percentile is $131.71 per claim, 4.5× the median.

Total Paid

$2.5M

0.00% of all spending

Total Claims

52K

Providers

104

Avg Cost/Claim

$49

National Cost Distribution

How much do providers bill per claim for 62369? Based on 104 providers billing this code nationally.

Median

$29.13

Average

$64.46

Std Dev

$92.17

Max

$449.95

Percentile Distribution (Cost per Claim)

p10
$9.26
p25
$16.21
Median
$29.13
p75
$69.64
p90
$131.71
p95
$274.77
p99
$426.60

50% of providers bill between $16.21 and $69.64 per claim for this code.

90% bill between $9.26 and $131.71.

Top 1% bill above $426.60.

About This Procedure

HCPCS code 62369 was billed by 104 providers across 52K claims, totaling $2.5M in Medicaid payments from 2018–2024. This code was used for 43K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$29.13

Providers Billing

104

National Spending

$2.5M

Avg/Median Ratio

2.21×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 62369

#ProviderTotal Paid
11750316014$290K
21760541700$231K
31841349792$220K
41730133463$168K
51841231461$122K
61891805727$108K
7Ihc Health Services, Inc.

Salt Lake City, UT · Psychiatric Unit

$94K
81801450291$85K
91144266024$83K
10University Of Wisconsin Hospitals And Clinics Authority

Madison, WI · General Acute Care Hospital

$80K
11Eastern Maine Medical Center

Bangor, ME · General Acute Care Hospital

$74K
121558355487$59K
131376669952$53K
14Texas Children's Hospital

Houston, TX · General Acute Care Hospital Children

$52K
151992271811$48K
16The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$45K
171821135963$40K
181225119175$40K
191851344907$40K
201447314067$36K

Showing top 20 of 104 providers billing this code