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#6982 of 11K

15851

HCPCS Procedure Code

HCPCS code 15851 is the #6,982 most-billed Medicaid procedure code, with $34K in payments across 1,107 claims from 2018–2024. The national median cost per claim is $25.92.

Total Paid

$34K

0.00% of all spending

Total Claims

1,107

Providers

3

Avg Cost/Claim

$30

National Cost Distribution

How much do providers bill per claim for 15851? Based on 3 providers billing this code nationally.

Median

$25.92

Average

$26.32

Std Dev

$21.58

Max

$48.10

Percentile Distribution (Cost per Claim)

p10
$9.13
p25
$15.43
Median
$25.92
p75
$37.01
p90
$43.66
p95
$45.88
p99
$47.65

50% of providers bill between $15.43 and $37.01 per claim for this code.

90% bill between $9.13 and $43.66.

Top 1% bill above $47.65.

About This Procedure

HCPCS code 15851 was billed by 3 providers across 1,107 claims, totaling $34K in Medicaid payments from 2018–2024. This code was used for 1,062 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$25.92

Providers Billing

3

National Spending

$34K

Avg/Median Ratio

1.02×

Normal distribution

Provider Coverage

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