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#7981 of 11K

15278

HCPCS Procedure Code

HCPCS code 15278 is the #7,981 most-billed Medicaid procedure code, with $8K in payments across 89 claims from 2018–2024. The national median cost per claim is $53.29.

Total Paid

$8K

0.00% of all spending

Total Claims

89

Providers

2

Avg Cost/Claim

$86

National Cost Distribution

How much do providers bill per claim for 15278? Based on 2 providers billing this code nationally.

Median

$53.29

Average

$53.29

Std Dev

$71.40

Max

$103.78

Percentile Distribution (Cost per Claim)

p10
$12.90
p25
$28.04
Median
$53.29
p75
$78.53
p90
$93.68
p95
$98.73
p99
$102.77

50% of providers bill between $28.04 and $78.53 per claim for this code.

90% bill between $12.90 and $93.68.

Top 1% bill above $102.77.

About This Procedure

HCPCS code 15278 was billed by 2 providers across 89 claims, totaling $8K in Medicaid payments from 2018–2024. This code was used for 54 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$53.29

Providers Billing

2

National Spending

$8K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.