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#7548 of 11K

65420

HCPCS Procedure Code

HCPCS code 65420 is the #7,548 most-billed Medicaid procedure code, with $15K in payments across 138 claims from 2018–2024. The national median cost per claim is $106.01.

Total Paid

$15K

0.00% of all spending

Total Claims

138

Providers

3

Avg Cost/Claim

$108

National Cost Distribution

How much do providers bill per claim for 65420? Based on 3 providers billing this code nationally.

Median

$106.01

Average

$110.62

Std Dev

$10.70

Max

$122.85

Percentile Distribution (Cost per Claim)

p10
$103.60
p25
$104.50
Median
$106.01
p75
$114.43
p90
$119.48
p95
$121.17
p99
$122.51

50% of providers bill between $104.50 and $114.43 per claim for this code.

90% bill between $103.60 and $119.48.

Top 1% bill above $122.51.

About This Procedure

HCPCS code 65420 was billed by 3 providers across 138 claims, totaling $15K in Medicaid payments from 2018–2024. This code was used for 120 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$106.01

Providers Billing

3

National Spending

$15K

Avg/Median Ratio

1.04×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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