Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#3091 of 11K

15002

HCPCS Procedure Code

HCPCS code 15002 is the #3,091 most-billed Medicaid procedure code, with $2.5M in payments across 17K claims from 2018–2024. The national median cost per claim is $132.26.

Total Paid

$2.5M

0.00% of all spending

Total Claims

17K

Providers

45

Avg Cost/Claim

$153

National Cost Distribution

How much do providers bill per claim for 15002? Based on 45 providers billing this code nationally.

Median

$132.26

Average

$164.02

Std Dev

$143.36

Max

$708.03

Percentile Distribution (Cost per Claim)

p10
$48.79
p25
$87.89
Median
$132.26
p75
$188.14
p90
$236.05
p95
$506.46
p99
$672.84

50% of providers bill between $87.89 and $188.14 per claim for this code.

90% bill between $48.79 and $236.05.

Top 1% bill above $672.84.

About This Procedure

HCPCS code 15002 was billed by 45 providers across 17K claims, totaling $2.5M in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$132.26

Providers Billing

45

National Spending

$2.5M

Avg/Median Ratio

1.24×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 15002

#ProviderTotal Paid
11215904909$400K
21033163092$396K
31598708513$302K
41073087680$222K
51780159749$197K
61861439952$165K
71194346734$129K
81043402522$111K
91184824146$102K
10District Medical Group, Inc

Phoenix, AZ · Anesthesiology

$89K
111720110968$77K
121912951963$54K
131013283803$42K
141770881104$21K
151275526337$20K
161972086924$19K
171538112230$15K
181770796096$15K
191235326760$14K
201073155834$14K

Showing top 20 of 45 providers billing this code