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

#6787 of 11K

69433

HCPCS Procedure Code

HCPCS code 69433 is the #6,787 most-billed Medicaid procedure code, with $43K in payments across 207 claims from 2018–2024. The national median cost per claim is $137.81.

Total Paid

$43K

0.00% of all spending

Total Claims

207

Providers

4

Avg Cost/Claim

$207

National Cost Distribution

How much do providers bill per claim for 69433? Based on 4 providers billing this code nationally.

Median

$137.81

Average

$171.05

Std Dev

$96.22

Max

$311.99

Percentile Distribution (Cost per Claim)

p10
$106.29
p25
$120.87
Median
$137.81
p75
$187.99
p90
$262.39
p95
$287.19
p99
$307.03

50% of providers bill between $120.87 and $187.99 per claim for this code.

90% bill between $106.29 and $262.39.

Top 1% bill above $307.03.

About This Procedure

HCPCS code 69433 was billed by 4 providers across 207 claims, totaling $43K in Medicaid payments from 2018–2024. This code was used for 195 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$137.81

Providers Billing

4

National Spending

$43K

Avg/Median Ratio

1.24×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.