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#5263 of 11K

67039

HCPCS Procedure Code

HCPCS code 67039 is the #5,263 most-billed Medicaid procedure code, with $246K in payments across 256 claims from 2018–2024. The national median cost per claim is $980.62.

Total Paid

$246K

0.00% of all spending

Total Claims

256

Providers

4

Avg Cost/Claim

$962

National Cost Distribution

How much do providers bill per claim for 67039? Based on 4 providers billing this code nationally.

Median

$980.62

Average

$1,046.64

Std Dev

$411.02

Max

$1,589.78

Percentile Distribution (Cost per Claim)

p10
$699.90
p25
$796.42
Median
$980.62
p75
$1,230.85
p90
$1,446.20
p95
$1,517.99
p99
$1,575.42

50% of providers bill between $796.42 and $1,230.85 per claim for this code.

90% bill between $699.90 and $1,446.20.

Top 1% bill above $1,575.42.

About This Procedure

HCPCS code 67039 was billed by 4 providers across 256 claims, totaling $246K in Medicaid payments from 2018–2024. This code was used for 235 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$980.62

Providers Billing

4

National Spending

$246K

Avg/Median Ratio

1.07×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.