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

#7641 of 11K

69420

HCPCS Procedure Code

HCPCS code 69420 is the #7,641 most-billed Medicaid procedure code, with $13K in payments across 138 claims from 2018–2024. The national median cost per claim is $92.45.

Total Paid

$13K

0.00% of all spending

Total Claims

138

Providers

1

Avg Cost/Claim

$92

National Cost Distribution

How much do providers bill per claim for 69420? Based on 1 providers billing this code nationally.

Median

$92.45

Average

$92.45

Std Dev

Max

$92.45

Percentile Distribution (Cost per Claim)

p10
$92.45
p25
$92.45
Median
$92.45
p75
$92.45
p90
$92.45
p95
$92.45
p99
$92.45

50% of providers bill between $92.45 and $92.45 per claim for this code.

90% bill between $92.45 and $92.45.

Top 1% bill above $92.45.

About This Procedure

HCPCS code 69420 was billed by 1 providers across 138 claims, totaling $13K in Medicaid payments from 2018–2024. This code was used for 121 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$92.45

Providers Billing

1

National Spending

$13K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

Related Procedures