78813
HCPCS Procedure Code
HCPCS code 78813 is the #7,697 most-billed Medicaid procedure code, with $12K in payments across 100 claims from 2018–2024. The national median cost per claim is $165.30.
Total Paid
$12K
0.00% of all spending
Total Claims
100
Providers
2
Avg Cost/Claim
$116
National Cost Distribution
How much do providers bill per claim for 78813? Based on 2 providers billing this code nationally.
Median
$165.30
Average
$165.30
Std Dev
$158.60
Max
$277.45
Percentile Distribution (Cost per Claim)
50% of providers bill between $109.23 and $221.38 per claim for this code.
90% bill between $75.59 and $255.02.
Top 1% bill above $275.21.
About This Procedure
HCPCS code 78813 was billed by 2 providers across 100 claims, totaling $12K in Medicaid payments from 2018–2024. This code was used for 95 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$165.30
Providers Billing
2
National Spending
$12K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.