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#3220 of 11K

73565

HCPCS Procedure Code

HCPCS code 73565 is the #3,220 most-billed Medicaid procedure code, with $2.2M in payments across 124K claims from 2018–2024. The national median cost per claim is $13.75. Costs vary widely — the 90th percentile is $31.88 per claim, 2.3× the median.

Total Paid

$2.2M

0.00% of all spending

Total Claims

124K

Providers

384

Avg Cost/Claim

$18

National Cost Distribution

How much do providers bill per claim for 73565? Based on 367 providers billing this code nationally.

Median

$13.75

Average

$16.25

Std Dev

$13.76

Max

$146.84

Percentile Distribution (Cost per Claim)

p10
$2.90
p25
$6.29
Median
$13.75
p75
$22.86
p90
$31.88
p95
$38.03
p99
$58.81

50% of providers bill between $6.29 and $22.86 per claim for this code.

90% bill between $2.90 and $31.88.

Top 1% bill above $58.81.

About This Procedure

HCPCS code 73565 was billed by 384 providers across 124K claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 114K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.75

Providers Billing

367

National Spending

$2.2M

Avg/Median Ratio

1.18×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 73565

#ProviderTotal Paid
11356869119$164K
21962766899$122K
31962438564$113K
4Bronxcare Health System

Bronx, NY · General Acute Care Hospital

$93K
51760568752$93K
61285798033$76K
7Riverside University Health Systems - Medical Center

Moreno Valley, CA · General Acute Care Hospital

$53K
81720017528$47K
91467504555$47K
10Truman Medical Center, Incorporated

Kansas City, MO · General Acute Care Hospital

$45K
11Arrowhead Regional Medical Center

Colton, CA · General Acute Care Hospital

$44K
121841437308$42K
13Lee Memorial Health System

Ft Myers, FL · General Acute Care Hospital

$42K
141114282779$40K
15Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$38K
16Variety Children's Hospital

Miami, FL · General Acute Care Hospital Children

$33K
171043246556$33K
181679771703$33K
191295738896$32K
201669450961$29K

Showing top 20 of 384 providers billing this code