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#1554 of 11K

72170

HCPCS Procedure Code

HCPCS code 72170 is the #1,554 most-billed Medicaid procedure code, with $19.4M in payments across 1.2M claims from 2018–2024. The national median cost per claim is $7.99. Costs vary widely — the 90th percentile is $32.83 per claim, 4.1× the median.

Total Paid

$19.4M

0.00% of all spending

Total Claims

1.2M

Providers

1,856

Avg Cost/Claim

$16

National Cost Distribution

How much do providers bill per claim for 72170? Based on 1,798 providers billing this code nationally.

Median

$7.99

Average

$15.15

Std Dev

$21.47

Max

$305.96

Percentile Distribution (Cost per Claim)

p10
$2.54
p25
$4.85
Median
$7.99
p75
$16.68
p90
$32.83
p95
$53.58
p99
$106.37

50% of providers bill between $4.85 and $16.68 per claim for this code.

90% bill between $2.54 and $32.83.

Top 1% bill above $106.37.

About This Procedure

HCPCS code 72170 was billed by 1,856 providers across 1.2M claims, totaling $19.4M in Medicaid payments from 2018–2024. This code was used for 1.1M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.99

Providers Billing

1,798

National Spending

$19.4M

Avg/Median Ratio

1.90×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 72170

#ProviderTotal Paid
1Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$854K
2State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$784K
3University Of Kentucky

Lexington, KY · General Acute Care Hospital

$472K
4Connecticut Children's Medical Center

Hartford, CT · General Acute Care Hospital, Children

$423K
5Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$380K
6Variety Children's Hospital

Miami, FL · General Acute Care Hospital Children

$330K
7Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$297K
8Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$294K
9Children's Hospital Corporation

Boston, MA · Clinic/Center

$252K
10The Children's Mercy Hospital

Kansas City, MO · General Acute Care Hospital Children

$226K
11The Nemours Foundation

Wilmington, DE · General Acute Care Hospital Children

$221K
12The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$213K
13Texas Children's Hospital

Houston, TX · General Acute Care Hospital Children

$211K
14Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$208K
15The Nemours Foundation

Orlando, FL · General Acute Care Hospital Children

$198K
16Children's Hospital & Research Center At Oakland

Oakland, CA · General Acute Care Hospital

$175K
17Pikeville Medical Center Inc

Pikeville, KY · General Acute Care Hospital

$175K
18Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$172K
191386709871$160K
201710065933$147K

Showing top 20 of 1,856 providers billing this code