0515
HCPCS Procedure Code
HCPCS code 0515 is the #3,032 most-billed Medicaid procedure code, with $2.7M in payments across 192K claims from 2018–2024. The national median cost per claim is $17.73.
Total Paid
$2.7M
0.00% of all spending
Total Claims
192K
Providers
15
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for 0515? Based on 11 providers billing this code nationally.
Median
$17.73
Average
$19.14
Std Dev
$13.96
Max
$47.85
Percentile Distribution (Cost per Claim)
50% of providers bill between $10.45 and $26.95 per claim for this code.
90% bill between $2.87 and $31.19.
Top 1% bill above $46.18.
About This Procedure
HCPCS code 0515 was billed by 15 providers across 192K claims, totaling $2.7M in Medicaid payments from 2018–2024. This code was used for 177K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$17.73
Providers Billing
11
National Spending
$2.7M
Avg/Median Ratio
1.08×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0515
| # | Provider | Total Paid |
|---|---|---|
| 1 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $1.4M |
| 2 | 1003102781 | $1.0M |
| 3 | 1477596583 | $172K |
| 4 | Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital | $46K |
| 5 | Riverside University Health Systems - Medical Center Moreno Valley, CA · General Acute Care Hospital | $23K |
| 6 | 1225324932 | $3K |
| 7 | 1619187978 | $3K |
| 8 | 1992963110 | $2K |
| 9 | 1427176569 | $1K |
| 10 | 1962442012 | $961 |
| 11 | 1750503017 | $71 |
| 12 | 1073744710 | $0 |
| 13 | 1972514503 | $0 |
| 14 | 1265530653 | $0 |
| 15 | 1720371065 | $0 |
Showing top 15 of 15 providers billing this code