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#6957 of 11K

69620

HCPCS Procedure Code

HCPCS code 69620 is the #6,957 most-billed Medicaid procedure code, with $35K in payments across 84 claims from 2018–2024. The national median cost per claim is $564.12.

Total Paid

$35K

0.00% of all spending

Total Claims

84

Providers

4

Avg Cost/Claim

$415

National Cost Distribution

How much do providers bill per claim for 69620? Based on 4 providers billing this code nationally.

Median

$564.12

Average

$501.02

Std Dev

$190.29

Max

$643.55

Percentile Distribution (Cost per Claim)

p10
$312.71
p25
$433.37
Median
$564.12
p75
$631.77
p90
$638.84
p95
$641.20
p99
$643.08

50% of providers bill between $433.37 and $631.77 per claim for this code.

90% bill between $312.71 and $638.84.

Top 1% bill above $643.08.

About This Procedure

HCPCS code 69620 was billed by 4 providers across 84 claims, totaling $35K in Medicaid payments from 2018–2024. This code was used for 65 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$564.12

Providers Billing

4

National Spending

$35K

Avg/Median Ratio

0.89×

Normal distribution

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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