78013
HCPCS Procedure Code
HCPCS code 78013 is the #4,927 most-billed Medicaid procedure code, with $351K in payments across 2,640 claims from 2018–2024. The national median cost per claim is $31.68. Costs vary widely — the 90th percentile is $123.42 per claim, 3.9× the median.
Total Paid
$351K
0.00% of all spending
Total Claims
2,640
Providers
7
Avg Cost/Claim
$133
National Cost Distribution
How much do providers bill per claim for 78013? Based on 7 providers billing this code nationally.
Median
$31.68
Average
$48.37
Std Dev
$54.78
Max
$137.47
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.59 and $75.27 per claim for this code.
90% bill between $4.49 and $123.42.
Top 1% bill above $136.07.
About This Procedure
HCPCS code 78013 was billed by 7 providers across 2,640 claims, totaling $351K in Medicaid payments from 2018–2024. This code was used for 2,235 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$31.68
Providers Billing
7
National Spending
$351K
Avg/Median Ratio
1.53×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 78013
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1285603837 | $344K |
| 2 | 1073003190 | $5K |
| 3 | 1366484594 | $2K |
| 4 | 1336192863 | $507 |
| 5 | William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease | $122 |
| 6 | 1366525487 | $70 |
| 7 | 1598859100 | $52 |
Showing top 7 of 7 providers billing this code