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#2237 of 11K

W7226

HCPCS Procedure Code

HCPCS code W7226 is the #2,237 most-billed Medicaid procedure code, with $7.5M in payments across 71K claims from 2018–2024. The national median cost per claim is $104.70.

Total Paid

$7.5M

0.00% of all spending

Total Claims

71K

Providers

2

Avg Cost/Claim

$106

National Cost Distribution

How much do providers bill per claim for W7226? Based on 2 providers billing this code nationally.

Median

$104.70

Average

$104.70

Std Dev

$2.18

Max

$106.24

Percentile Distribution (Cost per Claim)

p10
$103.47
p25
$103.93
Median
$104.70
p75
$105.47
p90
$105.93
p95
$106.08
p99
$106.21

50% of providers bill between $103.93 and $105.47 per claim for this code.

90% bill between $103.47 and $105.93.

Top 1% bill above $106.21.

About This Procedure

HCPCS code W7226 was billed by 2 providers across 71K claims, totaling $7.5M in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$104.70

Providers Billing

2

National Spending

$7.5M

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.

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