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#603 of 11K

62323

Epidural injection of diagnostic or therapeutic substance, lumbar

Epidural injection of diagnostic or therapeutic substance, lumbar is the #603 most-billed Medicaid procedure code, with $130.6M in payments across 765K claims from 2018–2024. The national median cost per claim is $111.02. Costs vary widely — the 90th percentile is $375.89 per claim, 3.4× the median.

Total Paid

$130.6M

0.01% of all spending

Total Claims

765K

Providers

2K

Avg Cost/Claim

$171

National Cost Distribution

How much do providers bill per claim for 62323? Based on 2K providers billing this code nationally.

Median

$111.02

Average

$167.33

Std Dev

$173.93

Max

$1,658.38

Percentile Distribution (Cost per Claim)

p10
$36.33
p25
$59.01
Median
$111.02
p75
$207.48
p90
$375.89
p95
$498.25
p99
$859.07

50% of providers bill between $59.01 and $207.48 per claim for this code.

90% bill between $36.33 and $375.89.

Top 1% bill above $859.07.

About This Procedure

HCPCS code 62323 (Epidural injection of diagnostic or therapeutic substance, lumbar) was billed by 2K providers across 765K claims, totaling $130.6M in Medicaid payments from 2018–2024. This code was used for 682K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$111.02

Providers Billing

2K

National Spending

$130.6M

Avg/Median Ratio

1.51×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 62323

#ProviderTotal Paid
1Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$4.4M
21639142706$2.7M
3Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$2.3M
41932411493$1.8M
51013268069$1.6M
61467649657$1.5M
7The Cooper Health System

Camden, NJ · General Acute Care Hospital

$1.4M
8Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$1.3M
9Carilion Medical Center

Roanoke, VA · General Acute Care Hospital

$1.3M
10Baystate Medical Center Inc

Springfield, MA · General Acute Care Hospital

$1.2M
11State Of Connecticut

Farmington, CT · Counselor, Professional

$1.2M
12Albert Einstein Medical Center

Phila, PA · General Acute Care Hospital

$1.2M
131720104474$1.0M
141720631708$1.0M
151740228469$978K
161265727762$966K
17Ashland Hospital Corporation

Ashland, KY · Clinic/Center, Rural Health

$960K
181588710289$937K
191154365062$890K
20Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$864K

Showing top 20 of 2K providers billing this code