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#6847 of 11K

W7216

HCPCS Procedure Code

HCPCS code W7216 is the #6,847 most-billed Medicaid procedure code, with $40K in payments across 23K claims from 2018–2024. The national median cost per claim is $113.20.

Total Paid

$40K

0.00% of all spending

Total Claims

23K

Providers

2

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for W7216? Based on 1 providers billing this code nationally.

Median

$113.20

Average

$113.20

Std Dev

Max

$113.20

Percentile Distribution (Cost per Claim)

p10
$113.20
p25
$113.20
Median
$113.20
p75
$113.20
p90
$113.20
p95
$113.20
p99
$113.20

50% of providers bill between $113.20 and $113.20 per claim for this code.

90% bill between $113.20 and $113.20.

Top 1% bill above $113.20.

About This Procedure

HCPCS code W7216 was billed by 2 providers across 23K claims, totaling $40K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$113.20

Providers Billing

1

National Spending

$40K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.