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)
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.