Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#7594 of 11K

2026F

HCPCS Procedure Code

HCPCS code 2026F is the #7,594 most-billed Medicaid procedure code, with $14K in payments across 99K claims from 2018–2024. The national median cost per claim is $0.25. Costs vary widely — the 90th percentile is $2.66 per claim, 10.6× the median.

Total Paid

$14K

0.00% of all spending

Total Claims

99K

Providers

285

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 2026F? Based on 21 providers billing this code nationally.

Median

$0.25

Average

$3.99

Std Dev

$15.76

Max

$72.69

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.25
p75
$0.76
p90
$2.66
p95
$2.96
p99
$58.75

50% of providers bill between $0.00 and $0.76 per claim for this code.

90% bill between $0.00 and $2.66.

Top 1% bill above $58.75.

About This Procedure

HCPCS code 2026F was billed by 285 providers across 99K claims, totaling $14K in Medicaid payments from 2018–2024. This code was used for 89K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.25

Providers Billing

21

National Spending

$14K

Avg/Median Ratio

15.96×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 2026F

#ProviderTotal Paid
11902004427$11K
21649836941$850
31740231323$799
41497025183$543
51114044435$130
61356899777$127
71457541450$100
81124089446$96
91528114311$85
101699713099$69
111639336803$60
121770625204$20
131912968371$10
141851305817$8
151356500508$1
161760798078$1
171366659849$0
181801170287$0
191285247528$0
201689604316$0

Showing top 20 of 285 providers billing this code