65426
HCPCS Procedure Code
HCPCS code 65426 is the #4,268 most-billed Medicaid procedure code, with $702K in payments across 1,169 claims from 2018–2024. The national median cost per claim is $578.99. Costs vary widely — the 90th percentile is $1,243.70 per claim, 2.1× the median.
Total Paid
$702K
0.00% of all spending
Total Claims
1,169
Providers
27
Avg Cost/Claim
$601
National Cost Distribution
How much do providers bill per claim for 65426? Based on 27 providers billing this code nationally.
Median
$578.99
Average
$710.39
Std Dev
$513.13
Max
$2,371.74
Percentile Distribution (Cost per Claim)
50% of providers bill between $387.08 and $903.29 per claim for this code.
90% bill between $230.12 and $1,243.70.
Top 1% bill above $2,193.60.
About This Procedure
HCPCS code 65426 was billed by 27 providers across 1,169 claims, totaling $702K in Medicaid payments from 2018–2024. This code was used for 1,075 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$578.99
Providers Billing
27
National Spending
$702K
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 65426
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1649218009 | $77K |
| 2 | 1962422709 | $64K |
| 3 | 1245251222 | $62K |
| 4 | 1033222989 | $58K |
| 5 | 1013449297 | $51K |
| 6 | 1518057546 | $44K |
| 7 | 1457515181 | $41K |
| 8 | 1538159397 | $39K |
| 9 | 1720407273 | $33K |
| 10 | 1295793974 | $28K |
| 11 | 1730112178 | $25K |
| 12 | 1639101751 | $20K |
| 13 | 1114033404 | $20K |
| 14 | 1659609311 | $19K |
| 15 | 1275594012 | $17K |
| 16 | 1851673511 | $16K |
| 17 | 1376639575 | $16K |
| 18 | 1295882587 | $16K |
| 19 | 1376641670 | $14K |
| 20 | 1053416818 | $10K |
Showing top 20 of 27 providers billing this code