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#6229 of 11K

78018

HCPCS Procedure Code

HCPCS code 78018 is the #6,229 most-billed Medicaid procedure code, with $82K in payments across 239 claims from 2018–2024. The national median cost per claim is $241.86.

Total Paid

$82K

0.00% of all spending

Total Claims

239

Providers

4

Avg Cost/Claim

$342

National Cost Distribution

How much do providers bill per claim for 78018? Based on 3 providers billing this code nationally.

Median

$241.86

Average

$262.11

Std Dev

$211.51

Max

$483.02

Percentile Distribution (Cost per Claim)

p10
$97.53
p25
$151.65
Median
$241.86
p75
$362.44
p90
$434.78
p95
$458.90
p99
$478.19

50% of providers bill between $151.65 and $362.44 per claim for this code.

90% bill between $97.53 and $434.78.

Top 1% bill above $478.19.

About This Procedure

HCPCS code 78018 was billed by 4 providers across 239 claims, totaling $82K in Medicaid payments from 2018–2024. This code was used for 202 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$241.86

Providers Billing

3

National Spending

$82K

Avg/Median Ratio

1.08×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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