78453
HCPCS Procedure Code
HCPCS code 78453 is the #7,011 most-billed Medicaid procedure code, with $32K in payments across 829 claims from 2018–2024. The national median cost per claim is $21.73. Costs vary widely — the 90th percentile is $84.82 per claim, 3.9× the median.
Total Paid
$32K
0.00% of all spending
Total Claims
829
Providers
4
Avg Cost/Claim
$38
National Cost Distribution
How much do providers bill per claim for 78453? Based on 4 providers billing this code nationally.
Median
$21.73
Average
$41.36
Std Dev
$46.66
Max
$110.88
Percentile Distribution (Cost per Claim)
50% of providers bill between $17.36 and $45.73 per claim for this code.
90% bill between $13.60 and $84.82.
Top 1% bill above $108.27.
About This Procedure
HCPCS code 78453 was billed by 4 providers across 829 claims, totaling $32K in Medicaid payments from 2018–2024. This code was used for 805 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$21.73
Providers Billing
4
National Spending
$32K
Avg/Median Ratio
1.90×
Moderately skewed
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.