Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#6091 of 11K

78802

HCPCS Procedure Code

HCPCS code 78802 is the #6,091 most-billed Medicaid procedure code, with $96K in payments across 250 claims from 2018–2024. The national median cost per claim is $232.43.

Total Paid

$96K

0.00% of all spending

Total Claims

250

Providers

2

Avg Cost/Claim

$384

National Cost Distribution

How much do providers bill per claim for 78802? Based on 2 providers billing this code nationally.

Median

$232.43

Average

$232.43

Std Dev

$236.87

Max

$399.92

Percentile Distribution (Cost per Claim)

p10
$98.44
p25
$148.69
Median
$232.43
p75
$316.18
p90
$366.43
p95
$383.18
p99
$396.58

50% of providers bill between $148.69 and $316.18 per claim for this code.

90% bill between $98.44 and $366.43.

Top 1% bill above $396.58.

About This Procedure

HCPCS code 78802 was billed by 2 providers across 250 claims, totaling $96K in Medicaid payments from 2018–2024. This code was used for 243 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$232.43

Providers Billing

2

National Spending

$96K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.