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#7404 of 11K

65860

HCPCS Procedure Code

HCPCS code 65860 is the #7,404 most-billed Medicaid procedure code, with $19K in payments across 337 claims from 2018–2024. The national median cost per claim is $55.60.

Total Paid

$19K

0.00% of all spending

Total Claims

337

Providers

3

Avg Cost/Claim

$56

National Cost Distribution

How much do providers bill per claim for 65860? Based on 3 providers billing this code nationally.

Median

$55.60

Average

$56.65

Std Dev

$6.20

Max

$63.31

Percentile Distribution (Cost per Claim)

p10
$51.96
p25
$53.32
Median
$55.60
p75
$59.45
p90
$61.77
p95
$62.54
p99
$63.15

50% of providers bill between $53.32 and $59.45 per claim for this code.

90% bill between $51.96 and $61.77.

Top 1% bill above $63.15.

About This Procedure

HCPCS code 65860 was billed by 3 providers across 337 claims, totaling $19K in Medicaid payments from 2018–2024. This code was used for 256 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$55.60

Providers Billing

3

National Spending

$19K

Avg/Median Ratio

1.02×

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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