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#6963 of 11K

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)

p10
$28.26
p25
$53.63
Median
$122.16
p75
$263.23
p90
$419.17
p95
$471.16
p99
$512.74

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.