Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#6918 of 11K

78262

HCPCS Procedure Code

HCPCS code 78262 is the #6,918 most-billed Medicaid procedure code, with $37K in payments across 129 claims from 2018–2024. The national median cost per claim is $376.87.

Total Paid

$37K

0.00% of all spending

Total Claims

129

Providers

4

Avg Cost/Claim

$284

National Cost Distribution

How much do providers bill per claim for 78262? Based on 3 providers billing this code nationally.

Median

$376.87

Average

$397.78

Std Dev

$98.54

Max

$505.09

Percentile Distribution (Cost per Claim)

p10
$324.46
p25
$344.12
Median
$376.87
p75
$440.98
p90
$479.45
p95
$492.27
p99
$502.53

50% of providers bill between $344.12 and $440.98 per claim for this code.

90% bill between $324.46 and $479.45.

Top 1% bill above $502.53.

About This Procedure

HCPCS code 78262 was billed by 4 providers across 129 claims, totaling $37K in Medicaid payments from 2018–2024. This code was used for 123 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$376.87

Providers Billing

3

National Spending

$37K

Avg/Median Ratio

1.06×

Normal distribution

Provider Coverage

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