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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1396790499 | $50K |
| 2 | 1124079868 | $14K |
| 3 | 1740283324 | $12K |
| 4 | University Hospital Newark, NJ · General Acute Care Hospital | $7K |
| 5 | Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital | $7K |
| 6 | Carilion Medical Center Roanoke, VA · General Acute Care Hospital | $6K |
| 7 | 1316957913 | $3K |
| 8 | 1639111057 | $3K |
| 9 | 1851352348 | $2K |
| 10 | 1720561186 | $1K |
| 11 | 1760416960 | $1K |
| 12 | Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA · Oral & Maxillofacial Surgery | $859 |
| 13 | 1376730358 | $405 |
| 14 | 1558363986 | $331 |
| 15 | 1659309615 | $240 |
| 16 | 1134166945 | $237 |
| 17 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $0 |
Showing top 17 of 17 providers billing this code