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#6604 of 11K

72198

HCPCS Procedure Code

HCPCS code 72198 is the #6,604 most-billed Medicaid procedure code, with $53K in payments across 1,504 claims from 2018–2024. The national median cost per claim is $177.05. Costs vary widely — the 90th percentile is $368.03 per claim, 2.1× the median.

Total Paid

$53K

0.00% of all spending

Total Claims

1,504

Providers

3

Avg Cost/Claim

$35

National Cost Distribution

How much do providers bill per claim for 72198? Based on 3 providers billing this code nationally.

Median

$177.05

Average

$202.80

Std Dev

$201.33

Max

$415.77

Percentile Distribution (Cost per Claim)

p10
$47.88
p25
$96.32
Median
$177.05
p75
$296.41
p90
$368.03
p95
$391.90
p99
$411.00

50% of providers bill between $96.32 and $296.41 per claim for this code.

90% bill between $47.88 and $368.03.

Top 1% bill above $411.00.

About This Procedure

HCPCS code 72198 was billed by 3 providers across 1,504 claims, totaling $53K in Medicaid payments from 2018–2024. This code was used for 1,497 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$177.05

Providers Billing

3

National Spending

$53K

Avg/Median Ratio

1.15×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.