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#4645 of 11K

X3926

HCPCS Procedure Code

HCPCS code X3926 is the #4,645 most-billed Medicaid procedure code, with $472K in payments across 21K claims from 2018–2024. The national median cost per claim is $20.99.

Total Paid

$472K

0.00% of all spending

Total Claims

21K

Providers

88

Avg Cost/Claim

$22

National Cost Distribution

How much do providers bill per claim for X3926? Based on 88 providers billing this code nationally.

Median

$20.99

Average

$21.07

Std Dev

$1.02

Max

$30.26

Percentile Distribution (Cost per Claim)

p10
$20.83
p25
$20.98
Median
$20.99
p75
$21.08
p90
$21.15
p95
$21.19
p99
$22.37

50% of providers bill between $20.98 and $21.08 per claim for this code.

90% bill between $20.83 and $21.15.

Top 1% bill above $22.37.

About This Procedure

HCPCS code X3926 was billed by 88 providers across 21K claims, totaling $472K in Medicaid payments from 2018–2024. This code was used for 20K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$20.99

Providers Billing

88

National Spending

$472K

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for X3926

#ProviderTotal Paid
1Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$74K
21679642060$30K
31538259551$25K
41558408294$24K
51093847980$17K
61306945191$16K
71417047432$16K
81073668521$14K
91205907938$12K
101861565368$11K
111518004910$10K
121073069761$10K
131952448698$10K
141508927575$10K
151801986823$8K
161902998214$8K
171336341932$8K
181194870709$8K
191275670838$7K
201265505762$7K

Showing top 20 of 88 providers billing this code