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#962 of 11K

68761

HCPCS Procedure Code

HCPCS code 68761 is the #962 most-billed Medicaid procedure code, with $53.1M in payments across 824K claims from 2018–2024. The national median cost per claim is $60.32.

Total Paid

$53.1M

0.00% of all spending

Total Claims

824K

Providers

641

Avg Cost/Claim

$64

National Cost Distribution

How much do providers bill per claim for 68761? Based on 628 providers billing this code nationally.

Median

$60.32

Average

$63.95

Std Dev

$44.27

Max

$400.09

Percentile Distribution (Cost per Claim)

p10
$12.04
p25
$32.23
Median
$60.32
p75
$83.87
p90
$112.48
p95
$143.21
p99
$197.60

50% of providers bill between $32.23 and $83.87 per claim for this code.

90% bill between $12.04 and $112.48.

Top 1% bill above $197.60.

About This Procedure

HCPCS code 68761 was billed by 641 providers across 824K claims, totaling $53.1M in Medicaid payments from 2018–2024. This code was used for 459K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$60.32

Providers Billing

628

National Spending

$53.1M

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 68761

#ProviderTotal Paid
11760541569$3.4M
21699078030$2.4M
31083911929$2.3M
41598274243$1.4M
51720695794$1.3M
61033388731$1.2M
71124001151$1.1M
81437579000$1.1M
91174039531$1.0M
101013163005$926K
111346663051$880K
121558434381$862K
131346390481$858K
141730292541$826K
151508021494$814K
161609064153$808K
171013453315$751K
181740723774$689K
191073970687$651K
201306022652$637K

Showing top 20 of 641 providers billing this code

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