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#8780 of 11K

78265

HCPCS Procedure Code

HCPCS code 78265 is the #8,780 most-billed Medicaid procedure code, with $1K in payments across 52 claims from 2018–2024. The national median cost per claim is $21.91.

Total Paid

$1K

0.00% of all spending

Total Claims

52

Providers

2

Avg Cost/Claim

$23

National Cost Distribution

How much do providers bill per claim for 78265? Based on 2 providers billing this code nationally.

Median

$21.91

Average

$21.91

Std Dev

$2.84

Max

$23.91

Percentile Distribution (Cost per Claim)

p10
$20.30
p25
$20.90
Median
$21.91
p75
$22.91
p90
$23.51
p95
$23.71
p99
$23.87

50% of providers bill between $20.90 and $22.91 per claim for this code.

90% bill between $20.30 and $23.51.

Top 1% bill above $23.87.

About This Procedure

HCPCS code 78265 was billed by 2 providers across 52 claims, totaling $1K in Medicaid payments from 2018–2024. This code was used for 52 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$21.91

Providers Billing

2

National Spending

$1K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.