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#3225 of 11K

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)

p10
$19.47
p25
$31.20
Median
$36.92
p75
$40.66
p90
$53.03
p95
$71.64
p99
$596.52

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

#ProviderTotal Paid
1Phs Indian Hospital

Red Lake, MN · General Acute Care Hospital

$89K
2Dhhs Phs Naihs Shiprock Hospital

Shiprock, NM · General Acute Care Hospital

$88K
3Dhhs,phs,naihs, Gallup Indian Medical Center

Gallup, NM · General Acute Care Hospital

$78K
4State Of Indiana Auditor Of State

Indianapolis, IN · Public Health or Welfare

$76K
5The Arizona Partnership For Immunization

Phoenix, AZ · Local Education Agency (LEA)

$75K
6Permanente Medical Group Inc

Stockton, CA · Anesthesiology

$68K
7Richard Bone

Chicago, IL · Internal Medicine, Gastroenterology

$54K
8County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$53K
9Rosebud Indian Health Service

Rosebud, SD · General Acute Care Hospital

$46K
10Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$44K
11Aurora Medical Group, Inc.

Milwaukee, WI · Internal Medicine

$43K
12Park Nicollet Clinic

St Louis Park, MN · Obstetrics & Gynecology

$38K
131710037288$37K
14The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$33K
15Group Health Plan, Inc.

Minneapolis, MN · Clinic/Center, Multi-Specialty

$32K
16City Of Columbus

Columbus, OH · Clinic/Center, Public Health, State or Local

$31K
17Permanente Medical Group Inc

Richmond, CA · Internal Medicine

$28K
18The Griffin Hospital

Derby, CT · Clinic/Center, Emergency Care

$24K
19Rochester General Hospital

Rochester, NY · Dentist, General Practice

$23K
20Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$23K

Showing top 20 of 501 providers billing this code