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#3685 of 11K

15823

HCPCS Procedure Code

HCPCS code 15823 is the #3,685 most-billed Medicaid procedure code, with $1.3M in payments across 2,879 claims from 2018–2024. The national median cost per claim is $307.91.

Total Paid

$1.3M

0.00% of all spending

Total Claims

2,879

Providers

4

Avg Cost/Claim

$464

National Cost Distribution

How much do providers bill per claim for 15823? Based on 4 providers billing this code nationally.

Median

$307.91

Average

$332.52

Std Dev

$177.81

Max

$562.50

Percentile Distribution (Cost per Claim)

p10
$179.55
p25
$221.20
Median
$307.91
p75
$419.23
p90
$505.19
p95
$533.84
p99
$556.77

50% of providers bill between $221.20 and $419.23 per claim for this code.

90% bill between $179.55 and $505.19.

Top 1% bill above $556.77.

About This Procedure

HCPCS code 15823 was billed by 4 providers across 2,879 claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 2,205 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$307.91

Providers Billing

4

National Spending

$1.3M

Avg/Median Ratio

1.08×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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