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

#6771 of 11K

94780

HCPCS Procedure Code

HCPCS code 94780 is the #6,771 most-billed Medicaid procedure code, with $43K in payments across 1K claims from 2018–2024. The national median cost per claim is $27.28.

Total Paid

$43K

0.00% of all spending

Total Claims

1K

Providers

12

Avg Cost/Claim

$34

National Cost Distribution

How much do providers bill per claim for 94780? Based on 10 providers billing this code nationally.

Median

$27.28

Average

$23.66

Std Dev

$15.18

Max

$44.30

Percentile Distribution (Cost per Claim)

p10
$4.43
p25
$11.92
Median
$27.28
p75
$33.65
p90
$41.79
p95
$43.05
p99
$44.05

50% of providers bill between $11.92 and $33.65 per claim for this code.

90% bill between $4.43 and $41.79.

Top 1% bill above $44.05.

About This Procedure

HCPCS code 94780 was billed by 12 providers across 1K claims, totaling $43K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$27.28

Providers Billing

10

National Spending

$43K

Avg/Median Ratio

0.87×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 94780

#ProviderTotal Paid
11124240817$39K
21992809412$1K
31679517023$785
41548424583$532
51639195860$413
61992802607$296
71669448882$157
81003882812$143
91467559179$123
101609826122$103
111093779704$0
121992838015$0

Showing top 12 of 12 providers billing this code