15769
HCPCS Procedure Code
HCPCS code 15769 is the #5,319 most-billed Medicaid procedure code, with $230K in payments across 3,186 claims from 2018–2024. The national median cost per claim is $69.23. Costs vary widely — the 90th percentile is $587.57 per claim, 8.5× the median.
Total Paid
$230K
0.00% of all spending
Total Claims
3,186
Providers
6
Avg Cost/Claim
$72
National Cost Distribution
How much do providers bill per claim for 15769? Based on 6 providers billing this code nationally.
Median
$69.23
Average
$224.70
Std Dev
$350.04
Max
$914.20
Percentile Distribution (Cost per Claim)
50% of providers bill between $36.66 and $218.66 per claim for this code.
90% bill between $17.29 and $587.57.
Top 1% bill above $881.54.
About This Procedure
HCPCS code 15769 was billed by 6 providers across 3,186 claims, totaling $230K in Medicaid payments from 2018–2024. This code was used for 2,884 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$69.23
Providers Billing
6
National Spending
$230K
Avg/Median Ratio
3.25×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 15769
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1184824146 | $129K |
| 2 | 1124339874 | $71K |
| 3 | 1366570244 | $16K |
| 4 | 1104933696 | $12K |
| 5 | 1508121070 | $1K |
| 6 | 1346432481 | $179 |
Showing top 6 of 6 providers billing this code