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#3471 of 11K

67500

HCPCS Procedure Code

HCPCS code 67500 is the #3,471 most-billed Medicaid procedure code, with $1.6M in payments across 30K claims from 2018–2024. The national median cost per claim is $19.84. Costs vary widely — the 90th percentile is $116.62 per claim, 5.9× the median.

Total Paid

$1.6M

0.00% of all spending

Total Claims

30K

Providers

13

Avg Cost/Claim

$54

National Cost Distribution

How much do providers bill per claim for 67500? Based on 11 providers billing this code nationally.

Median

$19.84

Average

$41.71

Std Dev

$57.09

Max

$182.20

Percentile Distribution (Cost per Claim)

p10
$3.04
p25
$8.80
Median
$19.84
p75
$40.21
p90
$116.62
p95
$149.41
p99
$175.64

50% of providers bill between $8.80 and $40.21 per claim for this code.

90% bill between $3.04 and $116.62.

Top 1% bill above $175.64.

About This Procedure

HCPCS code 67500 was billed by 13 providers across 30K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$19.84

Providers Billing

11

National Spending

$1.6M

Avg/Median Ratio

2.10×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 67500

#ProviderTotal Paid
11104221035$1.6M
21801929757$69K
31972692754$4K
41588804777$2K
51841368925$2K
61497943914$2K
71245303304$2K
81013092071$342
91326148578$323
101891235404$159
111336528926$116
121982153607$0
131790142677$0

Showing top 13 of 13 providers billing this code