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#6372 of 11K

69205

HCPCS Procedure Code

HCPCS code 69205 is the #6,372 most-billed Medicaid procedure code, with $71K in payments across 822 claims from 2018–2024. The national median cost per claim is $73.50.

Total Paid

$71K

0.00% of all spending

Total Claims

822

Providers

5

Avg Cost/Claim

$86

National Cost Distribution

How much do providers bill per claim for 69205? Based on 5 providers billing this code nationally.

Median

$73.50

Average

$80.10

Std Dev

$35.38

Max

$122.84

Percentile Distribution (Cost per Claim)

p10
$46.26
p25
$50.27
Median
$73.50
p75
$110.33
p90
$117.84
p95
$120.34
p99
$122.34

50% of providers bill between $50.27 and $110.33 per claim for this code.

90% bill between $46.26 and $117.84.

Top 1% bill above $122.34.

About This Procedure

HCPCS code 69205 was billed by 5 providers across 822 claims, totaling $71K in Medicaid payments from 2018–2024. This code was used for 819 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$73.50

Providers Billing

5

National Spending

$71K

Avg/Median Ratio

1.09×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 69205

#ProviderTotal Paid
11861886350$31K
21710073390$17K
31871110148$12K
41225182801$10K
51992032338$567

Showing top 5 of 5 providers billing this code