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#7282 of 11K

15860

HCPCS Procedure Code

HCPCS code 15860 is the #7,282 most-billed Medicaid procedure code, with $22K in payments across 418 claims from 2018–2024. The national median cost per claim is $51.41.

Total Paid

$22K

0.00% of all spending

Total Claims

418

Providers

2

Avg Cost/Claim

$54

National Cost Distribution

How much do providers bill per claim for 15860? Based on 2 providers billing this code nationally.

Median

$51.41

Average

$51.41

Std Dev

$4.02

Max

$54.25

Percentile Distribution (Cost per Claim)

p10
$49.14
p25
$49.99
Median
$51.41
p75
$52.83
p90
$53.69
p95
$53.97
p99
$54.20

50% of providers bill between $49.99 and $52.83 per claim for this code.

90% bill between $49.14 and $53.69.

Top 1% bill above $54.20.

About This Procedure

HCPCS code 15860 was billed by 2 providers across 418 claims, totaling $22K in Medicaid payments from 2018–2024. This code was used for 406 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$51.41

Providers Billing

2

National Spending

$22K

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.