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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1215392030 | $373K |
| 2 | 1922164656 | $40K |
| 3 | 1710026695 | $32K |
| 4 | 1689009854 | $10K |
| 5 | 1487942314 | $7K |
| 6 | 1932205838 | $6K |
| 7 | 1043210099 | $6K |
| 8 | 1245563352 | $5K |
| 9 | 1669708780 | $5K |
| 10 | 1982809133 | $3K |
| 11 | 1083931919 | $2K |
| 12 | 1912149279 | $2K |
| 13 | 1912194317 | $2K |
| 14 | 1265170948 | $1K |
| 15 | 1861155772 | $876 |
| 16 | 1144228347 | $718 |
| 17 | 1891803078 | $317 |
| 18 | 1336797109 | $177 |
| 19 | 1386600559 | $0 |
| 20 | 1649429994 | $0 |
Showing top 20 of 20 providers billing this code