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#6242 of 11K

13151

HCPCS Procedure Code

HCPCS code 13151 is the #6,242 most-billed Medicaid procedure code, with $81K in payments across 184 claims from 2018–2024. The national median cost per claim is $381.40.

Total Paid

$81K

0.00% of all spending

Total Claims

184

Providers

2

Avg Cost/Claim

$441

National Cost Distribution

How much do providers bill per claim for 13151? Based on 2 providers billing this code nationally.

Median

$381.40

Average

$381.40

Std Dev

$100.34

Max

$452.35

Percentile Distribution (Cost per Claim)

p10
$324.65
p25
$345.93
Median
$381.40
p75
$416.88
p90
$438.16
p95
$445.26
p99
$450.93

50% of providers bill between $345.93 and $416.88 per claim for this code.

90% bill between $324.65 and $438.16.

Top 1% bill above $450.93.

About This Procedure

HCPCS code 13151 was billed by 2 providers across 184 claims, totaling $81K in Medicaid payments from 2018–2024. This code was used for 178 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$381.40

Providers Billing

2

National Spending

$81K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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