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#5059 of 11K

15273

HCPCS Procedure Code

HCPCS code 15273 is the #5,059 most-billed Medicaid procedure code, with $304K in payments across 2,870 claims from 2018–2024. The national median cost per claim is $77.86.

Total Paid

$304K

0.00% of all spending

Total Claims

2,870

Providers

15

Avg Cost/Claim

$106

National Cost Distribution

How much do providers bill per claim for 15273? Based on 13 providers billing this code nationally.

Median

$77.86

Average

$156.86

Std Dev

$294.80

Max

$1,131.31

Percentile Distribution (Cost per Claim)

p10
$27.72
p25
$68.60
Median
$77.86
p75
$98.72
p90
$141.67
p95
$543.62
p99
$1,013.77

50% of providers bill between $68.60 and $98.72 per claim for this code.

90% bill between $27.72 and $141.67.

Top 1% bill above $1,013.77.

About This Procedure

HCPCS code 15273 was billed by 15 providers across 2,870 claims, totaling $304K in Medicaid payments from 2018–2024. This code was used for 2,082 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$77.86

Providers Billing

13

National Spending

$304K

Avg/Median Ratio

2.01×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 15273

#ProviderTotal Paid
11033163092$101K
21215904909$98K
31780669200$31K
41073087680$25K
51043402522$23K
61194346734$17K
71225725278$2K
81770881104$2K
91518916311$2K
101013283803$2K
111699484816$1K
121235326760$539
131689085771$245
141598708513$0
151912951963$0

Showing top 15 of 15 providers billing this code