69424
HCPCS Procedure Code
HCPCS code 69424 is the #7,628 most-billed Medicaid procedure code, with $13K in payments across 111 claims from 2018–2024. The national median cost per claim is $162.24. Costs vary widely — the 90th percentile is $399.76 per claim, 2.5× the median.
Total Paid
$13K
0.00% of all spending
Total Claims
111
Providers
3
Avg Cost/Claim
$118
National Cost Distribution
How much do providers bill per claim for 69424? Based on 3 providers billing this code nationally.
Median
$162.24
Average
$215.95
Std Dev
$221.28
Max
$459.14
Percentile Distribution (Cost per Claim)
50% of providers bill between $94.35 and $310.69 per claim for this code.
90% bill between $53.62 and $399.76.
Top 1% bill above $453.20.
About This Procedure
HCPCS code 69424 was billed by 3 providers across 111 claims, totaling $13K in Medicaid payments from 2018–2024. This code was used for 81 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$162.24
Providers Billing
3
National Spending
$13K
Avg/Median Ratio
1.33×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.