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#6542 of 11K

78267

HCPCS Procedure Code

HCPCS code 78267 is the #6,542 most-billed Medicaid procedure code, with $57K in payments across 7,875 claims from 2018–2024. The national median cost per claim is $6.42.

Total Paid

$57K

0.00% of all spending

Total Claims

7,875

Providers

16

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for 78267? Based on 16 providers billing this code nationally.

Median

$6.42

Average

$5.99

Std Dev

$2.61

Max

$9.86

Percentile Distribution (Cost per Claim)

p10
$1.97
p25
$4.86
Median
$6.42
p75
$7.99
p90
$8.63
p95
$9.10
p99
$9.71

50% of providers bill between $4.86 and $7.99 per claim for this code.

90% bill between $1.97 and $8.63.

Top 1% bill above $9.71.

About This Procedure

HCPCS code 78267 was billed by 16 providers across 7,875 claims, totaling $57K in Medicaid payments from 2018–2024. This code was used for 7,316 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.42

Providers Billing

16

National Spending

$57K

Avg/Median Ratio

0.93×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 78267

#ProviderTotal Paid
11215392030$44K
21922164656$5K
31710026695$4K
41487942314$826
51932205838$740
61043210099$651
71083931919$581
81669708780$576
91245563352$575
101407278229$327
111982809133$316
121912149279$238
131912194317$214
141144228347$84
151487792024$56
161891803078$37

Showing top 16 of 16 providers billing this code