#2409 of 11K

66821

HCPCS Procedure Code

HCPCS code 66821 is the #2,409 most-billed Medicaid procedure code, with $6.0M in payments across 61K claims from 2018–2024. The national median cost per claim is $83.06. Costs vary widely — the 90th percentile is $211.17 per claim, 2.5× the median.

Total Paid

$6.0M

0.00% of all spending

Total Claims

61K

Providers

283

Avg Cost/Claim

$98

National Cost Distribution

How much do providers bill per claim for 66821? Based on 279 providers billing this code nationally.

Median

$83.06

Average

$105.41

Std Dev

$84.97

Max

$627.83

Percentile Distribution (Cost per Claim)

p10

$26.28

p25

$51.10

Median

$83.06

p75

$134.28

p90

$211.17

p95

$242.05

p99

$393.68

50% of providers bill between $51.10 and $134.28 per claim for this code.

90% bill between $26.28 and $211.17.

Top 1% bill above $393.68.

About This Procedure

HCPCS code 66821 was billed by 283 providers across 61K claims, totaling $6.0M in Medicaid payments from 2018–2024. This code was used for 45K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$83.06

Providers Billing

279

National Spending

$6.0M

Avg/Median Ratio

1.27×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 66821

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1962422709	$461K	$160.53	1.9× median	Above 75th
2	1760541569	$308K	$97.58	1.2× median	Above Median
3	1154543916	$286K	$198.51	2.4× median	Above 75th
4	1114033404	$239K	$90.60	1.1× median	Above Median
5	1114929957	$200K	$36.19	0.4× median	Below Median
6	1780619692	$142K	$94.30	1.1× median	Above Median
7	1912960535	$131K	$91.51	1.1× median	Above Median
8	1801002522	$117K	$99.79	1.2× median	Above Median
9	1184629503	$111K	$76.15	0.9× median	Below Median
10	1538178256	$109K	$117.46	1.4× median	Above Median
11	1083911929	$105K	$170.36	2.1× median	Above 75th
12	1831249200	$103K	$210.94	2.5× median	Above 75th
13	1821167479	$95K	$131.79	1.6× median	Above Median
14	1326138710	$94K	$169.11	2.0× median	Above 75th
15	1649218009	$92K	$187.42	2.3× median	Above 75th
16	1730181868	$91K	$116.89	1.4× median	Above Median
17	1851531248	$90K	$107.24	1.3× median	Above Median
18	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$90K	$209.97	2.5× median	Above 75th
19	1407932619	$72K	$174.79	2.1× median	Above 75th
20	1518057546	$72K	$358.84	4.3× median	Top 10%

Showing top 20 of 283 providers billing this code

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