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

#2670 of 11K

82726

HCPCS Procedure Code

HCPCS code 82726 is the #2,670 most-billed Medicaid procedure code, with $4.2M in payments across 730K claims from 2018–2024. The national median cost per claim is $11.12. Costs vary widely — the 90th percentile is $38.97 per claim, 3.5× the median.

Total Paid

$4.2M

0.00% of all spending

Total Claims

730K

Providers

12

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 82726? Based on 11 providers billing this code nationally.

Median

$11.12

Average

$16.19

Std Dev

$14.97

Max

$40.73

Percentile Distribution (Cost per Claim)

p10
$3.07
p25
$4.15
Median
$11.12
p75
$25.74
p90
$38.97
p95
$39.85
p99
$40.56

50% of providers bill between $4.15 and $25.74 per claim for this code.

90% bill between $3.07 and $38.97.

Top 1% bill above $40.56.

About This Procedure

HCPCS code 82726 was billed by 12 providers across 730K claims, totaling $4.2M in Medicaid payments from 2018–2024. This code was used for 514K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.12

Providers Billing

11

National Spending

$4.2M

Avg/Median Ratio

1.46×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 82726

#ProviderTotal Paid
1Bureau Of Public Health Laboratories

Jacksonville, FL · Clinical Medical Laboratory

$3.0M
2State Of Alabama Department Of Public Health

Prattville, AL · Clinical Medical Laboratory

$1.2M
31619376316$44K
4Upmc Children's Hospital Of Pittsburgh

Pittsburgh, PA · Clinic/Center

$5K
51144680885$3K
61679578439$2K
7Children's Hospital

Washington, DC · General Acute Care Hospital Children

$898
81801852736$611
91497792527$200
101316983158$189
111073591822$20
121598713745$0

Showing top 12 of 12 providers billing this code