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#7628 of 11K

69424

HCPCS Procedure Code

HCPCS code 69424 is the #7,628 most-billed Medicaid procedure code, with $13K in payments across 111 claims from 2018–2024. The national median cost per claim is $162.24. Costs vary widely — the 90th percentile is $399.76 per claim, 2.5× the median.

Total Paid

$13K

0.00% of all spending

Total Claims

111

Providers

3

Avg Cost/Claim

$118

National Cost Distribution

How much do providers bill per claim for 69424? Based on 3 providers billing this code nationally.

Median

$162.24

Average

$215.95

Std Dev

$221.28

Max

$459.14

Percentile Distribution (Cost per Claim)

p10
$53.62
p25
$94.35
Median
$162.24
p75
$310.69
p90
$399.76
p95
$429.45
p99
$453.20

50% of providers bill between $94.35 and $310.69 per claim for this code.

90% bill between $53.62 and $399.76.

Top 1% bill above $453.20.

About This Procedure

HCPCS code 69424 was billed by 3 providers across 111 claims, totaling $13K in Medicaid payments from 2018–2024. This code was used for 81 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$162.24

Providers Billing

3

National Spending

$13K

Avg/Median Ratio

1.33×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.