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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1164493847 | $3K |
| 2 | 1316900277 | $3K |
| 3 | 1639290125 | $2K |
| 4 | 1669423265 | $380 |
| 5 | 1093767063 | $168 |
| 6 | 1700803418 | $0 |
| 7 | 1124173059 | $0 |
Showing top 7 of 7 providers billing this code