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#6412 of 11K

73223

HCPCS Procedure Code

HCPCS code 73223 is the #6,412 most-billed Medicaid procedure code, with $67K in payments across 698 claims from 2018–2024. The national median cost per claim is $59.13. Costs vary widely — the 90th percentile is $278.19 per claim, 4.7× the median.

Total Paid

$67K

0.00% of all spending

Total Claims

698

Providers

7

Avg Cost/Claim

$96

National Cost Distribution

How much do providers bill per claim for 73223? Based on 7 providers billing this code nationally.

Median

$59.13

Average

$136.99

Std Dev

$110.03

Max

$292.13

Percentile Distribution (Cost per Claim)

p10
$49.06
p25
$58.38
Median
$59.13
p75
$227.70
p90
$278.19
p95
$285.16
p99
$290.73

50% of providers bill between $58.38 and $227.70 per claim for this code.

90% bill between $49.06 and $278.19.

Top 1% bill above $290.73.

About This Procedure

HCPCS code 73223 was billed by 7 providers across 698 claims, totaling $67K in Medicaid payments from 2018–2024. This code was used for 669 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$59.13

Providers Billing

7

National Spending

$67K

Avg/Median Ratio

2.32×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 73223

#ProviderTotal Paid
11740283324$29K
2Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$28K
3Ohio State University Hospitals

Columbus, OH · General Acute Care Hospital

$3K
4Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$2K
51245299494$2K
61568462034$2K
71962857896$426

Showing top 7 of 7 providers billing this code