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#6160 of 11K

0552

HCPCS Procedure Code

HCPCS code 0552 is the #6,160 most-billed Medicaid procedure code, with $89K in payments across 3K claims from 2018–2024. The national median cost per claim is $65.96. Costs vary widely — the 90th percentile is $170.13 per claim, 2.6× the median.

Total Paid

$89K

0.00% of all spending

Total Claims

3K

Providers

8

Avg Cost/Claim

$26

National Cost Distribution

How much do providers bill per claim for 0552? Based on 7 providers billing this code nationally.

Median

$65.96

Average

$76.43

Std Dev

$76.95

Max

$206.31

Percentile Distribution (Cost per Claim)

p10
$7.86
p25
$11.34
Median
$65.96
p75
$117.43
p90
$170.13
p95
$188.22
p99
$202.69

50% of providers bill between $11.34 and $117.43 per claim for this code.

90% bill between $7.86 and $170.13.

Top 1% bill above $202.69.

About This Procedure

HCPCS code 0552 was billed by 8 providers across 3K claims, totaling $89K in Medicaid payments from 2018–2024. This code was used for 709 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$65.96

Providers Billing

7

National Spending

$89K

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 0552

#ProviderTotal Paid
11871589911$19K
21659415222$18K
31174571913$15K
41194869750$13K
51124368808$12K
61639213747$6K
71275677387$6K
81992709950$0

Showing top 8 of 8 providers billing this code