15005
HCPCS Procedure Code
HCPCS code 15005 is the #6,963 most-billed Medicaid procedure code, with $34K in payments across 202 claims from 2018–2024. The national median cost per claim is $122.16. Costs vary widely — the 90th percentile is $419.17 per claim, 3.4× the median.
Total Paid
$34K
0.00% of all spending
Total Claims
202
Providers
4
Avg Cost/Claim
$171
National Cost Distribution
How much do providers bill per claim for 15005? Based on 4 providers billing this code nationally.
Median
$122.16
Average
$194.70
Std Dev
$229.45
Max
$523.14
Percentile Distribution (Cost per Claim)
50% of providers bill between $53.63 and $263.23 per claim for this code.
90% bill between $28.26 and $419.17.
Top 1% bill above $512.74.
About This Procedure
HCPCS code 15005 was billed by 4 providers across 202 claims, totaling $34K in Medicaid payments from 2018–2024. This code was used for 122 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$122.16
Providers Billing
4
National Spending
$34K
Avg/Median Ratio
1.59×
Moderately skewed
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.