15853
HCPCS Procedure Code
HCPCS code 15853 is the #5,020 most-billed Medicaid procedure code, with $319K in payments across 7,779 claims from 2018–2024. The national median cost per claim is $16.06. Costs vary widely — the 90th percentile is $58.08 per claim, 3.6× the median.
Total Paid
$319K
0.00% of all spending
Total Claims
7,779
Providers
66
Avg Cost/Claim
$41
National Cost Distribution
How much do providers bill per claim for 15853? Based on 45 providers billing this code nationally.
Median
$16.06
Average
$37.16
Std Dev
$69.81
Max
$378.58
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.56 and $41.62 per claim for this code.
90% bill between $2.88 and $58.08.
Top 1% bill above $344.32.
About This Procedure
HCPCS code 15853 was billed by 66 providers across 7,779 claims, totaling $319K in Medicaid payments from 2018–2024. This code was used for 7,345 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$16.06
Providers Billing
45
National Spending
$319K
Avg/Median Ratio
2.31×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 15853
| # | Provider | Total Paid |
|---|---|---|
| 1 | St. Barnabas Hospital Bronx, NY · General Acute Care Hospital | $123K |
| 2 | 1366496937 | $86K |
| 3 | Jersey City Medical Center Jersey City, NJ · General Acute Care Hospital | $17K |
| 4 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $14K |
| 5 | Bronxcare Health System Bronx, NY · General Acute Care Hospital | $12K |
| 6 | St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital | $11K |
| 7 | Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital | $6K |
| 8 | Clara Maass Medical Center Belleville, NJ · General Acute Care Hospital | $5K |
| 9 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $5K |
| 10 | 1134349954 | $4K |
| 11 | 1598708513 | $4K |
| 12 | Richmond Medical Center Staten Island, NY · Psychiatric Unit | $4K |
| 13 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $3K |
| 14 | Hmh Hospitals Corporation Edison, NJ · General Acute Care Hospital | $3K |
| 15 | 1861439952 | $3K |
| 16 | 1619914785 | $3K |
| 17 | Cooperman Barnabas Medical Center Inc Livingston, NJ · General Acute Care Hospital | $2K |
| 18 | 1568688992 | $2K |
| 19 | St Elizabeth Medical Center, Inc Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | $1K |
| 20 | 1083668669 | $1K |
Showing top 20 of 66 providers billing this code