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#3423 of 11K

72275

HCPCS Procedure Code

HCPCS code 72275 is the #3,423 most-billed Medicaid procedure code, with $1.7M in payments across 51K claims from 2018–2024. The national median cost per claim is $29.71. Costs vary widely — the 90th percentile is $91.45 per claim, 3.1× the median.

Total Paid

$1.7M

0.00% of all spending

Total Claims

51K

Providers

142

Avg Cost/Claim

$34

National Cost Distribution

How much do providers bill per claim for 72275? Based on 125 providers billing this code nationally.

Median

$29.71

Average

$40.48

Std Dev

$37.93

Max

$216.73

Percentile Distribution (Cost per Claim)

p10
$4.06
p25
$14.52
Median
$29.71
p75
$59.14
p90
$91.45
p95
$106.34
p99
$185.22

50% of providers bill between $14.52 and $59.14 per claim for this code.

90% bill between $4.06 and $91.45.

Top 1% bill above $185.22.

About This Procedure

HCPCS code 72275 was billed by 142 providers across 51K claims, totaling $1.7M in Medicaid payments from 2018–2024. This code was used for 46K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$29.71

Providers Billing

125

National Spending

$1.7M

Avg/Median Ratio

1.36×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 72275

#ProviderTotal Paid
11386049070$166K
21013268069$158K
31942402391$99K
41497747356$95K
51033517263$77K
61902061070$71K
71992103352$67K
81366521767$66K
91881856458$62K
101700258597$49K
111720104474$42K
121083950380$42K
131669560504$39K
141821282666$38K
151881986743$37K
161619398542$35K
171346800737$32K
181336173194$27K
191629126974$27K
201649327750$26K

Showing top 20 of 142 providers billing this code

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