72265
HCPCS Procedure Code
HCPCS code 72265 is the #5,944 most-billed Medicaid procedure code, with $116K in payments across 4,150 claims from 2018–2024. The national median cost per claim is $24.33. Costs vary widely — the 90th percentile is $55.12 per claim, 2.3× the median.
Total Paid
$116K
0.00% of all spending
Total Claims
4,150
Providers
6
Avg Cost/Claim
$28
National Cost Distribution
How much do providers bill per claim for 72265? Based on 5 providers billing this code nationally.
Median
$24.33
Average
$28.06
Std Dev
$25.36
Max
$64.70
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.95 and $40.74 per claim for this code.
90% bill between $4.71 and $55.12.
Top 1% bill above $63.75.
About This Procedure
HCPCS code 72265 was billed by 6 providers across 4,150 claims, totaling $116K in Medicaid payments from 2018–2024. This code was used for 3,885 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$24.33
Providers Billing
5
National Spending
$116K
Avg/Median Ratio
1.15×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 72265
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1437556941 | $50K |
| 2 | 1104955269 | $50K |
| 3 | 1255449229 | $13K |
| 4 | 1871652974 | $974 |
| 5 | 1720183973 | $730 |
| 6 | 1376618470 | $0 |
Showing top 6 of 6 providers billing this code