0051A
HCPCS Procedure Code
HCPCS code 0051A is the #3,225 most-billed Medicaid procedure code, with $2.2M in payments across 61K claims from 2018–2024. The national median cost per claim is $36.92.
Total Paid
$2.2M
0.00% of all spending
Total Claims
61K
Providers
501
Avg Cost/Claim
$36
National Cost Distribution
How much do providers bill per claim for 0051A? Based on 464 providers billing this code nationally.
Median
$36.92
Average
$49.15
Std Dev
$83.14
Max
$624.64
Percentile Distribution (Cost per Claim)
50% of providers bill between $31.20 and $40.66 per claim for this code.
90% bill between $19.47 and $53.03.
Top 1% bill above $596.52.
About This Procedure
HCPCS code 0051A was billed by 501 providers across 61K claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 51K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$36.92
Providers Billing
464
National Spending
$2.2M
Avg/Median Ratio
1.33×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0051A
| # | Provider | Total Paid |
|---|---|---|
| 1 | Phs Indian Hospital Red Lake, MN · General Acute Care Hospital | $89K |
| 2 | Dhhs Phs Naihs Shiprock Hospital Shiprock, NM · General Acute Care Hospital | $88K |
| 3 | Dhhs,phs,naihs, Gallup Indian Medical Center Gallup, NM · General Acute Care Hospital | $78K |
| 4 | State Of Indiana Auditor Of State Indianapolis, IN · Public Health or Welfare | $76K |
| 5 | The Arizona Partnership For Immunization Phoenix, AZ · Local Education Agency (LEA) | $75K |
| 6 | Permanente Medical Group Inc Stockton, CA · Anesthesiology | $68K |
| 7 | Richard Bone Chicago, IL · Internal Medicine, Gastroenterology | $54K |
| 8 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $53K |
| 9 | Rosebud Indian Health Service Rosebud, SD · General Acute Care Hospital | $46K |
| 10 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $44K |
| 11 | Aurora Medical Group, Inc. Milwaukee, WI · Internal Medicine | $43K |
| 12 | Park Nicollet Clinic St Louis Park, MN · Obstetrics & Gynecology | $38K |
| 13 | 1710037288 | $37K |
| 14 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $33K |
| 15 | Group Health Plan, Inc. Minneapolis, MN · Clinic/Center, Multi-Specialty | $32K |
| 16 | City Of Columbus Columbus, OH · Clinic/Center, Public Health, State or Local | $31K |
| 17 | Permanente Medical Group Inc Richmond, CA · Internal Medicine | $28K |
| 18 | The Griffin Hospital Derby, CT · Clinic/Center, Emergency Care | $24K |
| 19 | Rochester General Hospital Rochester, NY · Dentist, General Practice | $23K |
| 20 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $23K |
Showing top 20 of 501 providers billing this code