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#7697 of 11K

78813

HCPCS Procedure Code

HCPCS code 78813 is the #7,697 most-billed Medicaid procedure code, with $12K in payments across 100 claims from 2018–2024. The national median cost per claim is $165.30.

Total Paid

$12K

0.00% of all spending

Total Claims

100

Providers

2

Avg Cost/Claim

$116

National Cost Distribution

How much do providers bill per claim for 78813? Based on 2 providers billing this code nationally.

Median

$165.30

Average

$165.30

Std Dev

$158.60

Max

$277.45

Percentile Distribution (Cost per Claim)

p10
$75.59
p25
$109.23
Median
$165.30
p75
$221.38
p90
$255.02
p95
$266.24
p99
$275.21

50% of providers bill between $109.23 and $221.38 per claim for this code.

90% bill between $75.59 and $255.02.

Top 1% bill above $275.21.

About This Procedure

HCPCS code 78813 was billed by 2 providers across 100 claims, totaling $12K in Medicaid payments from 2018–2024. This code was used for 95 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$165.30

Providers Billing

2

National Spending

$12K

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.