78434
HCPCS Procedure Code
HCPCS code 78434 is the #5,057 most-billed Medicaid procedure code, with $306K in payments across 18K claims from 2018–2024. The national median cost per claim is $12.49. Costs vary widely — the 90th percentile is $59.49 per claim, 4.8× the median.
Total Paid
$306K
0.00% of all spending
Total Claims
18K
Providers
89
Avg Cost/Claim
$17
National Cost Distribution
How much do providers bill per claim for 78434? Based on 71 providers billing this code nationally.
Median
$12.49
Average
$23.63
Std Dev
$30.27
Max
$166.12
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.47 and $25.50 per claim for this code.
90% bill between $1.24 and $59.49.
Top 1% bill above $134.34.
About This Procedure
HCPCS code 78434 was billed by 89 providers across 18K claims, totaling $306K in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.49
Providers Billing
71
National Spending
$306K
Avg/Median Ratio
1.89×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 78434
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1770830606 | $62K |
| 2 | 1063851335 | $54K |
| 3 | 1255382545 | $27K |
| 4 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $21K |
| 5 | St Lukes Roosevelt Hospital Center New York, NY · Case Management | $14K |
| 6 | 1952338212 | $13K |
| 7 | 1043279565 | $12K |
| 8 | Yale University New Haven, CT · Internal Medicine | $8K |
| 9 | 1194749580 | $7K |
| 10 | 1982833398 | $6K |
| 11 | 1336147859 | $6K |
| 12 | 1558759571 | $5K |
| 13 | 1043220650 | $5K |
| 14 | 1932675824 | $5K |
| 15 | 1043233984 | $4K |
| 16 | Trustees Of The University Of Pennsylvania Philadelphia, PA · Community/Behavioral Health | $4K |
| 17 | 1740213446 | $4K |
| 18 | 1811431182 | $3K |
| 19 | 1194723601 | $3K |
| 20 | 1063886323 | $3K |
Showing top 20 of 89 providers billing this code