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#6250 of 11K

68815

HCPCS Procedure Code

HCPCS code 68815 is the #6,250 most-billed Medicaid procedure code, with $81K in payments across 50 claims from 2018–2024. The national median cost per claim is $1,125.39.

Total Paid

$81K

0.00% of all spending

Total Claims

50

Providers

2

Avg Cost/Claim

$2K

National Cost Distribution

How much do providers bill per claim for 68815? Based on 2 providers billing this code nationally.

Median

$1,125.39

Average

$1,125.39

Std Dev

$1,330.03

Max

$2,065.86

Percentile Distribution (Cost per Claim)

p10
$373.01
p25
$655.15
Median
$1,125.39
p75
$1,595.63
p90
$1,877.77
p95
$1,971.82
p99
$2,047.05

50% of providers bill between $655.15 and $1,595.63 per claim for this code.

90% bill between $373.01 and $1,877.77.

Top 1% bill above $2,047.05.

About This Procedure

HCPCS code 68815 was billed by 2 providers across 50 claims, totaling $81K in Medicaid payments from 2018–2024. This code was used for 50 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,125.39

Providers Billing

2

National Spending

$81K

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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