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#7790 of 11K

XXXXX

HCPCS Procedure Code

HCPCS code XXXXX is the #7,790 most-billed Medicaid procedure code, with $10K in payments across 745 claims from 2018–2024. The national median cost per claim is $50.79.

Total Paid

$10K

0.00% of all spending

Total Claims

745

Providers

3

Avg Cost/Claim

$14

National Cost Distribution

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

Median

$50.79

Average

$50.79

Std Dev

$70.19

Max

$100.43

Percentile Distribution (Cost per Claim)

p10
$11.08
p25
$25.97
Median
$50.79
p75
$75.61
p90
$90.50
p95
$95.46
p99
$99.43

50% of providers bill between $25.97 and $75.61 per claim for this code.

90% bill between $11.08 and $90.50.

Top 1% bill above $99.43.

About This Procedure

HCPCS code XXXXX was billed by 3 providers across 745 claims, totaling $10K in Medicaid payments from 2018–2024. This code was used for 361 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$50.79

Providers Billing

2

National Spending

$10K

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.