Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#4383 of 11K

67314

HCPCS Procedure Code

HCPCS code 67314 is the #4,383 most-billed Medicaid procedure code, with $621K in payments across 1K claims from 2018–2024. The national median cost per claim is $578.21.

Total Paid

$621K

0.00% of all spending

Total Claims

1K

Providers

6

Avg Cost/Claim

$591

National Cost Distribution

How much do providers bill per claim for 67314? Based on 6 providers billing this code nationally.

Median

$578.21

Average

$668.01

Std Dev

$190.84

Max

$1,021.97

Percentile Distribution (Cost per Claim)

p10
$540.40
p25
$552.99
Median
$578.21
p75
$712.50
p90
$885.43
p95
$953.70
p99
$1,008.32

50% of providers bill between $552.99 and $712.50 per claim for this code.

90% bill between $540.40 and $885.43.

Top 1% bill above $1,008.32.

About This Procedure

HCPCS code 67314 was billed by 6 providers across 1K claims, totaling $621K in Medicaid payments from 2018–2024. This code was used for 994 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$578.21

Providers Billing

6

National Spending

$621K

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 67314

#ProviderTotal Paid
11790794303$275K
21245251222$241K
3Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$55K
4Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$27K
51043221922$12K
6Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$12K

Showing top 6 of 6 providers billing this code