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#6461 of 11K

94669

HCPCS Procedure Code

HCPCS code 94669 is the #6,461 most-billed Medicaid procedure code, with $63K in payments across 975 claims from 2018–2024. The national median cost per claim is $28.20. Costs vary widely — the 90th percentile is $415.75 per claim, 14.7× the median.

Total Paid

$63K

0.00% of all spending

Total Claims

975

Providers

7

Avg Cost/Claim

$65

National Cost Distribution

How much do providers bill per claim for 94669? Based on 4 providers billing this code nationally.

Median

$28.20

Average

$158.77

Std Dev

$279.55

Max

$577.46

Percentile Distribution (Cost per Claim)

p10
$6.24
p25
$13.79
Median
$28.20
p75
$173.17
p90
$415.75
p95
$496.61
p99
$561.29

50% of providers bill between $13.79 and $173.17 per claim for this code.

90% bill between $6.24 and $415.75.

Top 1% bill above $561.29.

About This Procedure

HCPCS code 94669 was billed by 7 providers across 975 claims, totaling $63K in Medicaid payments from 2018–2024. This code was used for 752 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$28.20

Providers Billing

4

National Spending

$63K

Avg/Median Ratio

5.63×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 94669

#ProviderTotal Paid
11174926448$50K
21790028025$10K
31770690695$2K
41447571658$222
51811939887$0
6Clara Maass Medical Center

Belleville, NJ · General Acute Care Hospital

$0
71265423917$0

Showing top 7 of 7 providers billing this code