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#7013 of 11K

15277

HCPCS Procedure Code

HCPCS code 15277 is the #7,013 most-billed Medicaid procedure code, with $32K in payments across 204 claims from 2018–2024. The national median cost per claim is $104.53. Costs vary widely — the 90th percentile is $486.18 per claim, 4.7× the median.

Total Paid

$32K

0.00% of all spending

Total Claims

204

Providers

3

Avg Cost/Claim

$156

National Cost Distribution

How much do providers bill per claim for 15277? Based on 3 providers billing this code nationally.

Median

$104.53

Average

$252.33

Std Dev

$285.65

Max

$581.59

Percentile Distribution (Cost per Claim)

p10
$77.59
p25
$87.69
Median
$104.53
p75
$343.06
p90
$486.18
p95
$533.88
p99
$572.05

50% of providers bill between $87.69 and $343.06 per claim for this code.

90% bill between $77.59 and $486.18.

Top 1% bill above $572.05.

About This Procedure

HCPCS code 15277 was billed by 3 providers across 204 claims, totaling $32K in Medicaid payments from 2018–2024. This code was used for 132 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$104.53

Providers Billing

3

National Spending

$32K

Avg/Median Ratio

2.41×

Highly skewed — outlier-driven

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.