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#7331 of 11K

78491

HCPCS Procedure Code

HCPCS code 78491 is the #7,331 most-billed Medicaid procedure code, with $21K in payments across 124 claims from 2018–2024. The national median cost per claim is $168.80.

Total Paid

$21K

0.00% of all spending

Total Claims

124

Providers

1

Avg Cost/Claim

$169

National Cost Distribution

How much do providers bill per claim for 78491? Based on 1 providers billing this code nationally.

Median

$168.80

Average

$168.80

Std Dev

Max

$168.80

Percentile Distribution (Cost per Claim)

p10
$168.80
p25
$168.80
Median
$168.80
p75
$168.80
p90
$168.80
p95
$168.80
p99
$168.80

50% of providers bill between $168.80 and $168.80 per claim for this code.

90% bill between $168.80 and $168.80.

Top 1% bill above $168.80.

About This Procedure

HCPCS code 78491 was billed by 1 providers across 124 claims, totaling $21K in Medicaid payments from 2018–2024. This code was used for 123 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$168.80

Providers Billing

1

National Spending

$21K

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.