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#4741 of 11K

15789

HCPCS Procedure Code

HCPCS code 15789 is the #4,741 most-billed Medicaid procedure code, with $423K in payments across 1,622 claims from 2018–2024. The national median cost per claim is $443.51.

Total Paid

$423K

0.00% of all spending

Total Claims

1,622

Providers

2

Avg Cost/Claim

$261

National Cost Distribution

How much do providers bill per claim for 15789? Based on 2 providers billing this code nationally.

Median

$443.51

Average

$443.51

Std Dev

$291.97

Max

$649.97

Percentile Distribution (Cost per Claim)

p10
$278.35
p25
$340.28
Median
$443.51
p75
$546.74
p90
$608.67
p95
$629.32
p99
$645.84

50% of providers bill between $340.28 and $546.74 per claim for this code.

90% bill between $278.35 and $608.67.

Top 1% bill above $645.84.

About This Procedure

HCPCS code 15789 was billed by 2 providers across 1,622 claims, totaling $423K in Medicaid payments from 2018–2024. This code was used for 1,599 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$443.51

Providers Billing

2

National Spending

$423K

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.