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#4595 of 11K

78268

HCPCS Procedure Code

HCPCS code 78268 is the #4,595 most-billed Medicaid procedure code, with $497K in payments across 8,040 claims from 2018–2024. The national median cost per claim is $58.35.

Total Paid

$497K

0.00% of all spending

Total Claims

8,040

Providers

20

Avg Cost/Claim

$62

National Cost Distribution

How much do providers bill per claim for 78268? Based on 18 providers billing this code nationally.

Median

$58.35

Average

$52.14

Std Dev

$21.43

Max

$84.56

Percentile Distribution (Cost per Claim)

p10
$20.30
p25
$43.66
Median
$58.35
p75
$67.55
p90
$73.36
p95
$76.24
p99
$82.90

50% of providers bill between $43.66 and $67.55 per claim for this code.

90% bill between $20.30 and $73.36.

Top 1% bill above $82.90.

About This Procedure

HCPCS code 78268 was billed by 20 providers across 8,040 claims, totaling $497K in Medicaid payments from 2018–2024. This code was used for 7,478 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$58.35

Providers Billing

18

National Spending

$497K

Avg/Median Ratio

0.89×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 78268

#ProviderTotal Paid
11215392030$373K
21922164656$40K
31710026695$32K
41689009854$10K
51487942314$7K
61932205838$6K
71043210099$6K
81245563352$5K
91669708780$5K
101982809133$3K
111083931919$2K
121912149279$2K
131912194317$2K
141265170948$1K
151861155772$876
161144228347$718
171891803078$317
181336797109$177
191386600559$0
201649429994$0

Showing top 20 of 20 providers billing this code