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#5928 of 11K

66991

HCPCS Procedure Code

HCPCS code 66991 is the #5,928 most-billed Medicaid procedure code, with $117K in payments across 282 claims from 2018–2024. The national median cost per claim is $423.04. Costs vary widely — the 90th percentile is $1,383.02 per claim, 3.3× the median.

Total Paid

$117K

0.00% of all spending

Total Claims

282

Providers

3

Avg Cost/Claim

$415

National Cost Distribution

How much do providers bill per claim for 66991? Based on 3 providers billing this code nationally.

Median

$423.04

Average

$727.16

Std Dev

$789.04

Max

$1,623.01

Percentile Distribution (Cost per Claim)

p10
$192.96
p25
$279.24
Median
$423.04
p75
$1,023.02
p90
$1,383.02
p95
$1,503.02
p99
$1,599.01

50% of providers bill between $279.24 and $1,023.02 per claim for this code.

90% bill between $192.96 and $1,383.02.

Top 1% bill above $1,599.01.

About This Procedure

HCPCS code 66991 was billed by 3 providers across 282 claims, totaling $117K in Medicaid payments from 2018–2024. This code was used for 223 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$423.04

Providers Billing

3

National Spending

$117K

Avg/Median Ratio

1.72×

Moderately skewed

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.