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#5944 of 11K

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)

p10
$4.71
p25
$7.95
Median
$24.33
p75
$40.74
p90
$55.12
p95
$59.91
p99
$63.75

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

#ProviderTotal Paid
11437556941$50K
21104955269$50K
31255449229$13K
41871652974$974
51720183973$730
61376618470$0

Showing top 6 of 6 providers billing this code

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