0851
HCPCS Procedure Code
HCPCS code 0851 is the #4,638 most-billed Medicaid procedure code, with $475K in payments across 6K claims from 2018–2024. The national median cost per claim is $54.96. Costs vary widely — the 90th percentile is $1,112.86 per claim, 20.2× the median.
Total Paid
$475K
0.00% of all spending
Total Claims
6K
Providers
5
Avg Cost/Claim
$77
National Cost Distribution
How much do providers bill per claim for 0851? Based on 3 providers billing this code nationally.
Median
$54.96
Average
$489.31
Std Dev
$769.12
Max
$1,377.34
Percentile Distribution (Cost per Claim)
50% of providers bill between $45.30 and $716.15 per claim for this code.
90% bill between $39.50 and $1,112.86.
Top 1% bill above $1,350.89.
About This Procedure
HCPCS code 0851 was billed by 5 providers across 6K claims, totaling $475K in Medicaid payments from 2018–2024. This code was used for 973 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$54.96
Providers Billing
3
National Spending
$475K
Avg/Median Ratio
8.90×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0851
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1851851117 | $229K |
| 2 | 1376859108 | $204K |
| 3 | 1235594656 | $43K |
| 4 | 1962461418 | $0 |
| 5 | 1639132772 | $0 |
Showing top 5 of 5 providers billing this code