65400
HCPCS Procedure Code
HCPCS code 65400 is the #4,709 most-billed Medicaid procedure code, with $439K in payments across 1,688 claims from 2018–2024. The national median cost per claim is $192.12. Costs vary widely — the 90th percentile is $667.81 per claim, 3.5× the median.
Total Paid
$439K
0.00% of all spending
Total Claims
1,688
Providers
9
Avg Cost/Claim
$260
National Cost Distribution
How much do providers bill per claim for 65400? Based on 9 providers billing this code nationally.
Median
$192.12
Average
$313.85
Std Dev
$244.65
Max
$759.38
Percentile Distribution (Cost per Claim)
50% of providers bill between $163.69 and $370.77 per claim for this code.
90% bill between $88.04 and $667.81.
Top 1% bill above $750.22.
About This Procedure
HCPCS code 65400 was billed by 9 providers across 1,688 claims, totaling $439K in Medicaid payments from 2018–2024. This code was used for 1,506 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$192.12
Providers Billing
9
National Spending
$439K
Avg/Median Ratio
1.63×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 65400
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1396820007 | $182K |
| 2 | 1609205731 | $101K |
| 3 | The Fort Defiance Indian Hospital Board, Incorporation Fort Defiance, AZ · General Acute Care Hospital | $47K |
| 4 | Pine Ridge Indian Health Service Hospital Pine Ridge, SD · General Acute Care Hospital | $46K |
| 5 | 1205878915 | $22K |
| 6 | Dhhs Phs Naihs Crownpoint Hospital Crownpoint, NM · General Acute Care Hospital | $15K |
| 7 | 1417953134 | $12K |
| 8 | 1326674813 | $10K |
| 9 | Dhhs,phs,naihs, Gallup Indian Medical Center Gallup, NM · General Acute Care Hospital | $3K |
Showing top 9 of 9 providers billing this code