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#2554 of 11K

X6985

HCPCS Procedure Code

HCPCS code X6985 is the #2,554 most-billed Medicaid procedure code, with $5.0M in payments across 94K claims from 2018–2024. The national median cost per claim is $52.33.

Total Paid

$5.0M

0.00% of all spending

Total Claims

94K

Providers

12

Avg Cost/Claim

$53

National Cost Distribution

How much do providers bill per claim for X6985? Based on 12 providers billing this code nationally.

Median

$52.33

Average

$50.84

Std Dev

$10.23

Max

$64.42

Percentile Distribution (Cost per Claim)

p10
$45.98
p25
$46.55
Median
$52.33
p75
$55.97
p90
$60.96
p95
$62.77
p99
$64.09

50% of providers bill between $46.55 and $55.97 per claim for this code.

90% bill between $45.98 and $60.96.

Top 1% bill above $64.09.

About This Procedure

HCPCS code X6985 was billed by 12 providers across 94K claims, totaling $5.0M in Medicaid payments from 2018–2024. This code was used for 8,329 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$52.33

Providers Billing

12

National Spending

$5.0M

Avg/Median Ratio

0.97×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for X6985

#ProviderTotal Paid
11639483662$1.7M
21295887560$974K
31205140399$543K
41396059481$499K
51841504032$417K
61871888990$287K
71841529252$152K
81740424548$145K
91255493821$118K
101295064608$57K
111285661785$53K
121629307145$45K

Showing top 12 of 12 providers billing this code

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