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#6012 of 11K

68700

HCPCS Procedure Code

HCPCS code 68700 is the #6,012 most-billed Medicaid procedure code, with $106K in payments across 1,192 claims from 2018–2024. The national median cost per claim is $72.89. Costs vary widely — the 90th percentile is $394.77 per claim, 5.4× the median.

Total Paid

$106K

0.00% of all spending

Total Claims

1,192

Providers

4

Avg Cost/Claim

$89

National Cost Distribution

How much do providers bill per claim for 68700? Based on 4 providers billing this code nationally.

Median

$72.89

Average

$184.64

Std Dev

$231.99

Max

$532.51

Percentile Distribution (Cost per Claim)

p10
$63.89
p25
$69.35
Median
$72.89
p75
$188.17
p90
$394.77
p95
$463.64
p99
$518.74

50% of providers bill between $69.35 and $188.17 per claim for this code.

90% bill between $63.89 and $394.77.

Top 1% bill above $518.74.

About This Procedure

HCPCS code 68700 was billed by 4 providers across 1,192 claims, totaling $106K in Medicaid payments from 2018–2024. This code was used for 896 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$72.89

Providers Billing

4

National Spending

$106K

Avg/Median Ratio

2.53×

Highly skewed — outlier-driven

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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