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#5908 of 11K

67801

HCPCS Procedure Code

HCPCS code 67801 is the #5,908 most-billed Medicaid procedure code, with $121K in payments across 1,845 claims from 2018–2024. The national median cost per claim is $89.16.

Total Paid

$121K

0.00% of all spending

Total Claims

1,845

Providers

2

Avg Cost/Claim

$65

National Cost Distribution

How much do providers bill per claim for 67801? Based on 2 providers billing this code nationally.

Median

$89.16

Average

$89.16

Std Dev

$68.12

Max

$137.33

Percentile Distribution (Cost per Claim)

p10
$50.62
p25
$65.08
Median
$89.16
p75
$113.24
p90
$127.69
p95
$132.51
p99
$136.36

50% of providers bill between $65.08 and $113.24 per claim for this code.

90% bill between $50.62 and $127.69.

Top 1% bill above $136.36.

About This Procedure

HCPCS code 67801 was billed by 2 providers across 1,845 claims, totaling $121K in Medicaid payments from 2018–2024. This code was used for 1,829 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$89.16

Providers Billing

2

National Spending

$121K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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