Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#7232 of 11K

69222

HCPCS Procedure Code

HCPCS code 69222 is the #7,232 most-billed Medicaid procedure code, with $24K in payments across 354 claims from 2018–2024. The national median cost per claim is $131.00.

Total Paid

$24K

0.00% of all spending

Total Claims

354

Providers

5

Avg Cost/Claim

$68

National Cost Distribution

How much do providers bill per claim for 69222? Based on 5 providers billing this code nationally.

Median

$131.00

Average

$104.02

Std Dev

$69.82

Max

$189.23

Percentile Distribution (Cost per Claim)

p10
$30.07
p25
$43.50
Median
$131.00
p75
$135.26
p90
$167.64
p95
$178.43
p99
$187.07

50% of providers bill between $43.50 and $135.26 per claim for this code.

90% bill between $30.07 and $167.64.

Top 1% bill above $187.07.

About This Procedure

HCPCS code 69222 was billed by 5 providers across 354 claims, totaling $24K in Medicaid payments from 2018–2024. This code was used for 288 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$131.00

Providers Billing

5

National Spending

$24K

Avg/Median Ratio

0.79×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 69222

#ProviderTotal Paid
11205924511$9K
21508858937$6K
31366570244$5K
41598771834$4K
51093381485$522

Showing top 5 of 5 providers billing this code

Related Procedures