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#4699 of 11K

15788

HCPCS Procedure Code

HCPCS code 15788 is the #4,699 most-billed Medicaid procedure code, with $444K in payments across 5,406 claims from 2018–2024. The national median cost per claim is $88.07. Costs vary widely — the 90th percentile is $296.62 per claim, 3.4× the median.

Total Paid

$444K

0.00% of all spending

Total Claims

5,406

Providers

4

Avg Cost/Claim

$82

National Cost Distribution

How much do providers bill per claim for 15788? Based on 3 providers billing this code nationally.

Median

$88.07

Average

$172.36

Std Dev

$152.81

Max

$348.75

Percentile Distribution (Cost per Claim)

p10
$81.82
p25
$84.17
Median
$88.07
p75
$218.41
p90
$296.62
p95
$322.69
p99
$343.54

50% of providers bill between $84.17 and $218.41 per claim for this code.

90% bill between $81.82 and $296.62.

Top 1% bill above $343.54.

About This Procedure

HCPCS code 15788 was billed by 4 providers across 5,406 claims, totaling $444K in Medicaid payments from 2018–2024. This code was used for 3,960 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$88.07

Providers Billing

3

National Spending

$444K

Avg/Median Ratio

1.96×

Moderately skewed

Provider Coverage

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