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#1742 of 11K

72128

HCPCS Procedure Code

HCPCS code 72128 is the #1,742 most-billed Medicaid procedure code, with $14.9M in payments across 264K claims from 2018–2024. The national median cost per claim is $33.24. Costs vary widely — the 90th percentile is $142.11 per claim, 4.3× the median.

Total Paid

$14.9M

0.00% of all spending

Total Claims

264K

Providers

588

Avg Cost/Claim

$56

National Cost Distribution

How much do providers bill per claim for 72128? Based on 576 providers billing this code nationally.

Median

$33.24

Average

$59.87

Std Dev

$88.53

Max

$1,126.26

Percentile Distribution (Cost per Claim)

p10
$12.43
p25
$22.90
Median
$33.24
p75
$53.97
p90
$142.11
p95
$201.80
p99
$450.41

50% of providers bill between $22.90 and $53.97 per claim for this code.

90% bill between $12.43 and $142.11.

Top 1% bill above $450.41.

About This Procedure

HCPCS code 72128 was billed by 588 providers across 264K claims, totaling $14.9M in Medicaid payments from 2018–2024. This code was used for 244K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$33.24

Providers Billing

576

National Spending

$14.9M

Avg/Median Ratio

1.80×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 72128

#ProviderTotal Paid
1University Of Kentucky

Lexington, KY · General Acute Care Hospital

$2.4M
2Pikeville Medical Center Inc

Pikeville, KY · General Acute Care Hospital

$654K
31609869916$412K
4Palomar Health

Escondido, CA · General Acute Care Hospital

$378K
5Riverside University Health Systems - Medical Center

Moreno Valley, CA · General Acute Care Hospital

$360K
6Baptist Healthcare System Inc

Corbin, KY · General Acute Care Hospital

$327K
7Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$315K
81326091448$285K
9Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$281K
10Stanford Health Care

Stanford, CA · General Acute Care Hospital

$273K
11Banner-university Medical Group

Phoenix, AZ · Clinic/Center, Primary Care

$260K
12Hennepin Healthcare System Inc

Minneapolis, MN · General Acute Care Hospital

$249K
131811213994$249K
14The Metrohealth System

Cleveland, OH · Anesthesiology

$241K
151669408159$236K
161043293608$210K
17Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$206K
181023041159$201K
19Alameda Health System

Oakland, CA · General Acute Care Hospital

$184K
20Froedtert Memorial Lutheran Hospital, Inc.

Milwaukee, WI · Clinic/Center, Radiology

$170K

Showing top 20 of 588 providers billing this code