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#4356 of 11K

78459

HCPCS Procedure Code

HCPCS code 78459 is the #4,356 most-billed Medicaid procedure code, with $639K in payments across 303 claims from 2018–2024. The national median cost per claim is $2,107.85.

Total Paid

$639K

0.00% of all spending

Total Claims

303

Providers

1

Avg Cost/Claim

$2K

National Cost Distribution

How much do providers bill per claim for 78459? Based on 1 providers billing this code nationally.

Median

$2,107.85

Average

$2,107.85

Std Dev

Max

$2,107.85

Percentile Distribution (Cost per Claim)

p10
$2,107.85
p25
$2,107.85
Median
$2,107.85
p75
$2,107.85
p90
$2,107.85
p95
$2,107.85
p99
$2,107.85

50% of providers bill between $2,107.85 and $2,107.85 per claim for this code.

90% bill between $2,107.85 and $2,107.85.

Top 1% bill above $2,107.85.

About This Procedure

HCPCS code 78459 was billed by 1 providers across 303 claims, totaling $639K in Medicaid payments from 2018–2024. This code was used for 279 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2,107.85

Providers Billing

1

National Spending

$639K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.