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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1639483662 | $1.7M |
| 2 | 1295887560 | $974K |
| 3 | 1205140399 | $543K |
| 4 | 1396059481 | $499K |
| 5 | 1841504032 | $417K |
| 6 | 1871888990 | $287K |
| 7 | 1841529252 | $152K |
| 8 | 1740424548 | $145K |
| 9 | 1255493821 | $118K |
| 10 | 1295064608 | $57K |
| 11 | 1285661785 | $53K |
| 12 | 1629307145 | $45K |
Showing top 12 of 12 providers billing this code