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#5219 of 11K

65222

HCPCS Procedure Code

HCPCS code 65222 is the #5,219 most-billed Medicaid procedure code, with $259K in payments across 7,559 claims from 2018–2024. The national median cost per claim is $23.23. Costs vary widely — the 90th percentile is $63.60 per claim, 2.7× the median.

Total Paid

$259K

0.00% of all spending

Total Claims

7,559

Providers

14

Avg Cost/Claim

$34

National Cost Distribution

How much do providers bill per claim for 65222? Based on 13 providers billing this code nationally.

Median

$23.23

Average

$33.19

Std Dev

$28.94

Max

$102.77

Percentile Distribution (Cost per Claim)

p10
$5.29
p25
$10.75
Median
$23.23
p75
$43.23
p90
$63.60
p95
$80.23
p99
$98.26

50% of providers bill between $10.75 and $43.23 per claim for this code.

90% bill between $5.29 and $63.60.

Top 1% bill above $98.26.

About This Procedure

HCPCS code 65222 was billed by 14 providers across 7,559 claims, totaling $259K in Medicaid payments from 2018–2024. This code was used for 7,444 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$23.23

Providers Billing

13

National Spending

$259K

Avg/Median Ratio

1.43×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 65222

#ProviderTotal Paid
11902102742$164K
21700969763$74K
31396820007$5K
41114661048$4K
51609205731$3K
61427536325$3K
71679660617$3K
81376639575$2K
9Lsu Health Sciences Center Shreveport Faculty Group Practice

Shreveport, LA · Oral & Maxillofacial Surgery

$848
101639101751$605
111164516522$367
121124798954$340
131063684181$52
141073908554$0

Showing top 14 of 14 providers billing this code

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