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#7924 of 11K

78472

HCPCS Procedure Code

HCPCS code 78472 is the #7,924 most-billed Medicaid procedure code, with $8K in payments across 145 claims from 2018–2024. The national median cost per claim is $47.59. Costs vary widely — the 90th percentile is $167.68 per claim, 3.5× the median.

Total Paid

$8K

0.00% of all spending

Total Claims

145

Providers

7

Avg Cost/Claim

$57

National Cost Distribution

How much do providers bill per claim for 78472? Based on 5 providers billing this code nationally.

Median

$47.59

Average

$83.32

Std Dev

$78.26

Max

$168.13

Percentile Distribution (Cost per Claim)

p10
$14.88
p25
$27.14
Median
$47.59
p75
$167.01
p90
$167.68
p95
$167.90
p99
$168.08

50% of providers bill between $27.14 and $167.01 per claim for this code.

90% bill between $14.88 and $167.68.

Top 1% bill above $168.08.

About This Procedure

HCPCS code 78472 was billed by 7 providers across 145 claims, totaling $8K in Medicaid payments from 2018–2024. This code was used for 141 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$47.59

Providers Billing

5

National Spending

$8K

Avg/Median Ratio

1.75×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 78472

#ProviderTotal Paid
11164493847$3K
21316900277$3K
31639290125$2K
41669423265$380
51093767063$168
61700803418$0
71124173059$0

Showing top 7 of 7 providers billing this code

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