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#8490 of 11K

78469

HCPCS Procedure Code

HCPCS code 78469 is the #8,490 most-billed Medicaid procedure code, with $3K in payments across 56 claims from 2018–2024. The national median cost per claim is $47.02.

Total Paid

$3K

0.00% of all spending

Total Claims

56

Providers

1

Avg Cost/Claim

$47

National Cost Distribution

How much do providers bill per claim for 78469? Based on 1 providers billing this code nationally.

Median

$47.02

Average

$47.02

Std Dev

Max

$47.02

Percentile Distribution (Cost per Claim)

p10
$47.02
p25
$47.02
Median
$47.02
p75
$47.02
p90
$47.02
p95
$47.02
p99
$47.02

50% of providers bill between $47.02 and $47.02 per claim for this code.

90% bill between $47.02 and $47.02.

Top 1% bill above $47.02.

About This Procedure

HCPCS code 78469 was billed by 1 providers across 56 claims, totaling $3K in Medicaid payments from 2018–2024. This code was used for 56 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$47.02

Providers Billing

1

National Spending

$3K

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.

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