15852
HCPCS Procedure Code
HCPCS code 15852 is the #6,346 most-billed Medicaid procedure code, with $72K in payments across 19K claims from 2018–2024. The national median cost per claim is $20.11. Costs vary widely — the 90th percentile is $248.67 per claim, 12.4× the median.
Total Paid
$72K
0.00% of all spending
Total Claims
19K
Providers
14
Avg Cost/Claim
$4
National Cost Distribution
How much do providers bill per claim for 15852? Based on 12 providers billing this code nationally.
Median
$20.11
Average
$73.92
Std Dev
$145.51
Max
$469.68
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.20 and $27.39 per claim for this code.
90% bill between $1.53 and $248.67.
Top 1% bill above $448.07.
About This Procedure
HCPCS code 15852 was billed by 14 providers across 19K claims, totaling $72K in Medicaid payments from 2018–2024. This code was used for 6,189 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$20.11
Providers Billing
12
National Spending
$72K
Avg/Median Ratio
3.68×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 15852
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1891912432 | $35K |
| 2 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $12K |
| 3 | 1891895637 | $7K |
| 4 | 1427098169 | $6K |
| 5 | 1801874573 | $5K |
| 6 | 1881809135 | $2K |
| 7 | 1801929757 | $1K |
| 8 | 1538393053 | $996 |
| 9 | 1386600559 | $718 |
| 10 | 1922517077 | $487 |
| 11 | 1184048449 | $337 |
| 12 | 1992724488 | $206 |
| 13 | 1982002283 | $0 |
| 14 | 1083101075 | $0 |
Showing top 14 of 14 providers billing this code