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#5996 of 11K

78320

HCPCS Procedure Code

HCPCS code 78320 is the #5,996 most-billed Medicaid procedure code, with $108K in payments across 1,382 claims from 2018–2024. The national median cost per claim is $59.00. Costs vary widely — the 90th percentile is $210.89 per claim, 3.6× the median.

Total Paid

$108K

0.00% of all spending

Total Claims

1,382

Providers

17

Avg Cost/Claim

$78

National Cost Distribution

How much do providers bill per claim for 78320? Based on 16 providers billing this code nationally.

Median

$59.00

Average

$94.08

Std Dev

$83.86

Max

$281.61

Percentile Distribution (Cost per Claim)

p10
$20.27
p25
$27.46
Median
$59.00
p75
$132.86
p90
$210.89
p95
$252.63
p99
$275.82

50% of providers bill between $27.46 and $132.86 per claim for this code.

90% bill between $20.27 and $210.89.

Top 1% bill above $275.82.

About This Procedure

HCPCS code 78320 was billed by 17 providers across 1,382 claims, totaling $108K in Medicaid payments from 2018–2024. This code was used for 1,361 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$59.00

Providers Billing

16

National Spending

$108K

Avg/Median Ratio

1.59×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 78320

#ProviderTotal Paid
11396790499$50K
21124079868$14K
31740283324$12K
4University Hospital

Newark, NJ · General Acute Care Hospital

$7K
5Spectrum Health Hospitals

Grand Rapids, MI · General Acute Care Hospital

$7K
6Carilion Medical Center

Roanoke, VA · General Acute Care Hospital

$6K
71316957913$3K
81639111057$3K
91851352348$2K
101720561186$1K
111760416960$1K
12Lsu Health Sciences Center Shreveport Faculty Group Practice

Shreveport, LA · Oral & Maxillofacial Surgery

$859
131376730358$405
141558363986$331
151659309615$240
161134166945$237
17Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$0

Showing top 17 of 17 providers billing this code

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