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#5853 of 11K

72270

HCPCS Procedure Code

HCPCS code 72270 is the #5,853 most-billed Medicaid procedure code, with $128K in payments across 1,719 claims from 2018–2024. The national median cost per claim is $65.03.

Total Paid

$128K

0.00% of all spending

Total Claims

1,719

Providers

2

Avg Cost/Claim

$75

National Cost Distribution

How much do providers bill per claim for 72270? Based on 2 providers billing this code nationally.

Median

$65.03

Average

$65.03

Std Dev

$73.87

Max

$117.27

Percentile Distribution (Cost per Claim)

p10
$23.24
p25
$38.91
Median
$65.03
p75
$91.15
p90
$106.82
p95
$112.05
p99
$116.22

50% of providers bill between $38.91 and $91.15 per claim for this code.

90% bill between $23.24 and $106.82.

Top 1% bill above $116.22.

About This Procedure

HCPCS code 72270 was billed by 2 providers across 1,719 claims, totaling $128K in Medicaid payments from 2018–2024. This code was used for 1,236 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$65.03

Providers Billing

2

National Spending

$128K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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