#5750 of 11K

83026

HCPCS Procedure Code

HCPCS code 83026 is the #5,750 most-billed Medicaid procedure code, with $145K in payments across 175K claims from 2018–2024. The national median cost per claim is $2.07.

Total Paid

$145K

0.00% of all spending

Total Claims

175K

Providers

183

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 83026? Based on 138 providers billing this code nationally.

Median

$2.07

Average

$2.03

Std Dev

$2.97

Max

$32.98

Percentile Distribution (Cost per Claim)

p10

$0.22

p25

$0.88

Median

$2.07

p75

$2.55

p90

$2.78

p95

$2.96

p99

$9.22

50% of providers bill between $0.88 and $2.55 per claim for this code.

90% bill between $0.22 and $2.78.

Top 1% bill above $9.22.

About This Procedure

HCPCS code 83026 was billed by 183 providers across 175K claims, totaling $145K in Medicaid payments from 2018–2024. This code was used for 158K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.07

Providers Billing

138

National Spending

$145K

Avg/Median Ratio

0.98×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 83026

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Cambridge Public Health Commission Cambridge, MA · General Acute Care Hospital	$14K	$2.56	1.2× median	Above 75th
2	Bay Area Community Health Fremont, CA · Clinic/Center Federally Qualified Health Center (FQHC)	$12K	$1.36	0.7× median	Below Median
3	1851617997	$9K	$1.51	0.7× median	Below Median
4	1376862607	$9K	$2.48	1.2× median	Above Median
5	1093054447	$6K	$2.59	1.3× median	Above 75th
6	1255446142	$6K	$2.45	1.2× median	Above Median
7	1306936687	$5K	$2.04	1.0× median	Below Median
8	1952496663	$5K	$1.86	0.9× median	Below Median
9	1073925186	$5K	$2.10	1.0× median	Above Median
10	1821459413	$4K	$1.95	0.9× median	Below Median
11	1780054379	$3K	$0.86	0.4× median	Below Median
12	1699986331	$3K	$0.89	0.4× median	Below Median
13	1407060700	$3K	$3.06	1.5× median	Top 10%
14	1225357114	$3K	$0.77	0.4× median	Below Median
15	1760407621	$2K	$2.29	1.1× median	Above Median
16	1215001987	$2K	$2.38	1.2× median	Above Median
17	1740346709	$2K	$1.92	0.9× median	Below Median
18	1316098205	$2K	$1.85	0.9× median	Below Median
19	1306954631	$2K	$32.98	15.9× median	Top 1%
20	1073675385	$2K	$2.51	1.2× median	Above Median

Showing top 20 of 183 providers billing this code

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