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#4193 of 11K

67312

HCPCS Procedure Code

HCPCS code 67312 is the #4,193 most-billed Medicaid procedure code, with $767K in payments across 399 claims from 2018–2024. The national median cost per claim is $1,792.56.

Total Paid

$767K

0.00% of all spending

Total Claims

399

Providers

5

Avg Cost/Claim

$2K

National Cost Distribution

How much do providers bill per claim for 67312? Based on 5 providers billing this code nationally.

Median

$1,792.56

Average

$2,015.55

Std Dev

$1,067.29

Max

$3,067.34

Percentile Distribution (Cost per Claim)

p10
$974.71
p25
$1,626.33
Median
$1,792.56
p75
$3,051.22
p90
$3,060.89
p95
$3,064.12
p99
$3,066.70

50% of providers bill between $1,626.33 and $3,051.22 per claim for this code.

90% bill between $974.71 and $3,060.89.

Top 1% bill above $3,066.70.

About This Procedure

HCPCS code 67312 was billed by 5 providers across 399 claims, totaling $767K in Medicaid payments from 2018–2024. This code was used for 376 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,792.56

Providers Billing

5

National Spending

$767K

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 67312

#ProviderTotal Paid
1Vhs Childrens Hospital Of Michigan Inc

Detroit, MI · Clinic/Center, Ambulatory Surgical

$380K
2Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$229K
3Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$83K
4Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$44K
51043221922$31K

Showing top 5 of 5 providers billing this code