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#5659 of 11K

1558P

HCPCS Procedure Code

HCPCS code 1558P is the #5,659 most-billed Medicaid procedure code, with $159K in payments across 4K claims from 2018–2024. The national median cost per claim is $40.80.

Total Paid

$159K

0.00% of all spending

Total Claims

4K

Providers

4

Avg Cost/Claim

$42

National Cost Distribution

How much do providers bill per claim for 1558P? Based on 3 providers billing this code nationally.

Median

$40.80

Average

$44.09

Std Dev

$8.94

Max

$54.22

Percentile Distribution (Cost per Claim)

p10
$37.97
p25
$39.03
Median
$40.80
p75
$47.51
p90
$51.53
p95
$52.87
p99
$53.95

50% of providers bill between $39.03 and $47.51 per claim for this code.

90% bill between $37.97 and $51.53.

Top 1% bill above $53.95.

About This Procedure

HCPCS code 1558P was billed by 4 providers across 4K claims, totaling $159K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$40.80

Providers Billing

3

National Spending

$159K

Avg/Median Ratio

1.08×

Normal distribution

Provider Coverage

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