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#4709 of 11K

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)

p10
$88.04
p25
$163.69
Median
$192.12
p75
$370.77
p90
$667.81
p95
$713.59
p99
$750.22

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

#ProviderTotal Paid
11396820007$182K
21609205731$101K
3The Fort Defiance Indian Hospital Board, Incorporation

Fort Defiance, AZ · General Acute Care Hospital

$47K
4Pine Ridge Indian Health Service Hospital

Pine Ridge, SD · General Acute Care Hospital

$46K
51205878915$22K
6Dhhs Phs Naihs Crownpoint Hospital

Crownpoint, NM · General Acute Care Hospital

$15K
71417953134$12K
81326674813$10K
9Dhhs,phs,naihs, Gallup Indian Medical Center

Gallup, NM · General Acute Care Hospital

$3K

Showing top 9 of 9 providers billing this code