67904
HCPCS Procedure Code
HCPCS code 67904 is the #5,528 most-billed Medicaid procedure code, with $182K in payments across 741 claims from 2018–2024. The national median cost per claim is $438.38.
Total Paid
$182K
0.00% of all spending
Total Claims
741
Providers
7
Avg Cost/Claim
$245
National Cost Distribution
How much do providers bill per claim for 67904? Based on 7 providers billing this code nationally.
Median
$438.38
Average
$375.92
Std Dev
$228.10
Max
$613.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $188.24 and $573.04 per claim for this code.
90% bill between $119.49 and $593.33.
Top 1% bill above $611.86.
About This Procedure
HCPCS code 67904 was billed by 7 providers across 741 claims, totaling $182K in Medicaid payments from 2018–2024. This code was used for 460 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$438.38
Providers Billing
7
National Spending
$182K
Avg/Median Ratio
0.86×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 67904
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1649218009 | $63K |
| 2 | 1114033404 | $60K |
| 3 | 1306249453 | $20K |
| 4 | 1144256777 | $16K |
| 5 | 1568814010 | $12K |
| 6 | 1376593863 | $8K |
| 7 | 1942397864 | $3K |
Showing top 7 of 7 providers billing this code