#4133 of 11K

67820

HCPCS Procedure Code

HCPCS code 67820 is the #4,133 most-billed Medicaid procedure code, with $818K in payments across 61K claims from 2018–2024. The national median cost per claim is $11.69. Costs vary widely — the 90th percentile is $29.87 per claim, 2.6× the median.

Total Paid

$818K

0.00% of all spending

Total Claims

61K

Providers

Avg Cost/Claim

$13

National Cost Distribution

How much do providers bill per claim for 67820? Based on 87 providers billing this code nationally.

Median

$11.69

Average

$14.58

Std Dev

$10.69

Max

$43.58

Percentile Distribution (Cost per Claim)

p10

$2.76

p25

$6.34

Median

$11.69

p75

$21.12

p90

$29.87

p95

$35.29

p99

$43.18

50% of providers bill between $6.34 and $21.12 per claim for this code.

90% bill between $2.76 and $29.87.

Top 1% bill above $43.18.

About This Procedure

HCPCS code 67820 was billed by 90 providers across 61K claims, totaling $818K in Medicaid payments from 2018–2024. This code was used for 52K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.69

Providers Billing

National Spending

$818K

Avg/Median Ratio

1.25×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 67820

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1992946180	$87K	$25.03	2.1× median	Above 75th
2	1023159720	$83K	$23.66	2.0× median	Above 75th
3	1902102742	$74K	$20.90	1.8× median	Above Median
4	1588727101	$68K	$17.50	1.5× median	Above Median
5	1316941966	$40K	$10.22	0.9× median	Below Median
6	1043241714	$39K	$23.40	2.0× median	Above 75th
7	1740723774	$36K	$35.37	3.0× median	Top 10%
8	1760541569	$33K	$21.59	1.8× median	Above 75th
9	1588703995	$28K	$11.31	1.0× median	Below Median
10	1073536090	$27K	$15.80	1.4× median	Above Median
11	1396887428	$23K	$6.52	0.6× median	Below Median
12	1184629503	$23K	$3.25	0.3× median	Below Median
13	1700969763	$22K	$8.26	0.7× median	Below Median
14	1407018294	$18K	$9.75	0.8× median	Below Median
15	1427016120	$14K	$6.52	0.6× median	Below Median
16	1083911929	$12K	$11.55	1.0× median	Below Median
17	1851332241	$10K	$6.78	0.6× median	Below Median
18	1457792798	$10K	$12.28	1.1× median	Above Median
19	1316494123	$10K	$19.94	1.7× median	Above Median
20	1578039574	$10K	$35.09	3.0× median	Top 10%

Showing top 20 of 90 providers billing this code

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