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)
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.