69205
HCPCS Procedure Code
HCPCS code 69205 is the #6,372 most-billed Medicaid procedure code, with $71K in payments across 822 claims from 2018–2024. The national median cost per claim is $73.50.
Total Paid
$71K
0.00% of all spending
Total Claims
822
Providers
5
Avg Cost/Claim
$86
National Cost Distribution
How much do providers bill per claim for 69205? Based on 5 providers billing this code nationally.
Median
$73.50
Average
$80.10
Std Dev
$35.38
Max
$122.84
Percentile Distribution (Cost per Claim)
50% of providers bill between $50.27 and $110.33 per claim for this code.
90% bill between $46.26 and $117.84.
Top 1% bill above $122.34.
About This Procedure
HCPCS code 69205 was billed by 5 providers across 822 claims, totaling $71K in Medicaid payments from 2018–2024. This code was used for 819 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$73.50
Providers Billing
5
National Spending
$71K
Avg/Median Ratio
1.09×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 69205
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1861886350 | $31K |
| 2 | 1710073390 | $17K |
| 3 | 1871110148 | $12K |
| 4 | 1225182801 | $10K |
| 5 | 1992032338 | $567 |
Showing top 5 of 5 providers billing this code