67042
HCPCS Procedure Code
HCPCS code 67042 is the #6,476 most-billed Medicaid procedure code, with $62K in payments across 78 claims from 2018–2024. The national median cost per claim is $888.74.
Total Paid
$62K
0.00% of all spending
Total Claims
78
Providers
4
Avg Cost/Claim
$797
National Cost Distribution
How much do providers bill per claim for 67042? Based on 4 providers billing this code nationally.
Median
$888.74
Average
$730.11
Std Dev
$379.84
Max
$978.99
Percentile Distribution (Cost per Claim)
50% of providers bill between $703.04 and $915.81 per claim for this code.
90% bill between $379.61 and $953.72.
Top 1% bill above $976.46.
About This Procedure
HCPCS code 67042 was billed by 4 providers across 78 claims, totaling $62K in Medicaid payments from 2018–2024. This code was used for 77 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$888.74
Providers Billing
4
National Spending
$62K
Avg/Median Ratio
0.82×
Normal distribution
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.