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#1935 of 11K

W7201

HCPCS Procedure Code

HCPCS code W7201 is the #1,935 most-billed Medicaid procedure code, with $11.3M in payments across 138K claims from 2018–2024. The national median cost per claim is $124.66.

Total Paid

$11.3M

0.00% of all spending

Total Claims

138K

Providers

3

Avg Cost/Claim

$82

National Cost Distribution

How much do providers bill per claim for W7201? Based on 3 providers billing this code nationally.

Median

$124.66

Average

$104.00

Std Dev

$95.34

Max

$187.32

Percentile Distribution (Cost per Claim)

p10
$24.95
p25
$62.34
Median
$124.66
p75
$155.99
p90
$174.79
p95
$181.05
p99
$186.07

50% of providers bill between $62.34 and $155.99 per claim for this code.

90% bill between $24.95 and $174.79.

Top 1% bill above $186.07.

About This Procedure

HCPCS code W7201 was billed by 3 providers across 138K claims, totaling $11.3M in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$124.66

Providers Billing

3

National Spending

$11.3M

Avg/Median Ratio

0.83×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.