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#7138 of 11K

67036

HCPCS Procedure Code

HCPCS code 67036 is the #7,138 most-billed Medicaid procedure code, with $27K in payments across 79 claims from 2018–2024. The national median cost per claim is $235.46. Costs vary widely — the 90th percentile is $863.42 per claim, 3.7× the median.

Total Paid

$27K

0.00% of all spending

Total Claims

79

Providers

3

Avg Cost/Claim

$342

National Cost Distribution

How much do providers bill per claim for 67036? Based on 3 providers billing this code nationally.

Median

$235.46

Average

$490.50

Std Dev

$459.02

Max

$1,020.41

Percentile Distribution (Cost per Claim)

p10
$219.61
p25
$225.55
Median
$235.46
p75
$627.93
p90
$863.42
p95
$941.91
p99
$1,004.71

50% of providers bill between $225.55 and $627.93 per claim for this code.

90% bill between $219.61 and $863.42.

Top 1% bill above $1,004.71.

About This Procedure

HCPCS code 67036 was billed by 3 providers across 79 claims, totaling $27K in Medicaid payments from 2018–2024. This code was used for 64 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$235.46

Providers Billing

3

National Spending

$27K

Avg/Median Ratio

2.08×

Highly skewed — outlier-driven

Provider Coverage

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