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#1578 of 11K

67228

HCPCS Procedure Code

HCPCS code 67228 is the #1,578 most-billed Medicaid procedure code, with $18.6M in payments across 69K claims from 2018–2024. The national median cost per claim is $256.67.

Total Paid

$18.6M

0.00% of all spending

Total Claims

69K

Providers

223

Avg Cost/Claim

$271

National Cost Distribution

How much do providers bill per claim for 67228? Based on 221 providers billing this code nationally.

Median

$256.67

Average

$291.92

Std Dev

$223.21

Max

$2,125.32

Percentile Distribution (Cost per Claim)

p10
$95.84
p25
$176.09
Median
$256.67
p75
$333.74
p90
$494.77
p95
$591.34
p99
$1,155.97

50% of providers bill between $176.09 and $333.74 per claim for this code.

90% bill between $95.84 and $494.77.

Top 1% bill above $1,155.97.

About This Procedure

HCPCS code 67228 was billed by 223 providers across 69K claims, totaling $18.6M in Medicaid payments from 2018–2024. This code was used for 54K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$256.67

Providers Billing

221

National Spending

$18.6M

Avg/Median Ratio

1.14×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 67228

#ProviderTotal Paid
11528081148$1.9M
21760541569$1.5M
31104221035$1.3M
41508073297$1.0M
51629133178$906K
61114033404$904K
71447299797$524K
81639101751$495K
91619112943$436K
101104868520$422K
111245251222$416K
121447331087$306K
13Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$277K
141073970687$276K
151477623700$267K
161659385508$261K
17Lsu Health Sciences Center Shreveport Faculty Group Practice

Shreveport, LA · Oral & Maxillofacial Surgery

$237K
181043275787$223K
191477083459$211K
201548217433$200K

Showing top 20 of 223 providers billing this code

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