67028
Intravitreal injection of a pharmacologic agent
Intravitreal injection of a pharmacologic agent is the #341 most-billed Medicaid procedure code, with $389.1M in payments across 4.3M claims from 2018–2024. The national median cost per claim is $58.82. Costs vary widely — the 90th percentile is $197.74 per claim, 3.4× the median.
Total Paid
$389.1M
0.04% of all spending
Total Claims
4.3M
Providers
2K
Avg Cost/Claim
$90
National Cost Distribution
How much do providers bill per claim for 67028? Based on 2K providers billing this code nationally.
Median
$58.82
Average
$90.40
Std Dev
$89.19
Max
$1,218.13
Percentile Distribution (Cost per Claim)
50% of providers bill between $36.30 and $119.00 per claim for this code.
90% bill between $23.81 and $197.74.
Top 1% bill above $394.11.
About This Procedure
HCPCS code 67028 (Intravitreal injection of a pharmacologic agent) was billed by 2K providers across 4.3M claims, totaling $389.1M in Medicaid payments from 2018–2024. This code was used for 3.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$58.82
Providers Billing
2K
National Spending
$389.1M
Avg/Median Ratio
1.54×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 67028
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1760541569 | $17.4M |
| 2 | 1114033404 | $12.6M |
| 3 | 1104221035 | $8.6M |
| 4 | 1134164023 | $6.8M |
| 5 | 1083757322 | $5.9M |
| 6 | 1174557805 | $5.8M |
| 7 | 1962422709 | $5.5M |
| 8 | 1083707822 | $4.5M |
| 9 | 1386737617 | $3.9M |
| 10 | 1114931052 | $3.9M |
| 11 | 1477532174 | $3.8M |
| 12 | 1487798773 | $3.2M |
| 13 | 1639101751 | $3.1M |
| 14 | 1891783965 | $2.8M |
| 15 | 1164578894 | $2.7M |
| 16 | 1073970687 | $2.6M |
| 17 | 1104868520 | $2.5M |
| 18 | 1205847746 | $2.5M |
| 19 | 1497828321 | $2.4M |
| 20 | 1659326452 | $2.4M |
Showing top 20 of 2K providers billing this code