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#2499 of 11K

37253

HCPCS Procedure Code

HCPCS code 37253 is the #2,499 most-billed Medicaid procedure code, with $5.3M in payments across 47K claims from 2018–2024. The national median cost per claim is $49.64. Costs vary widely — the 90th percentile is $245.98 per claim, 5.0× the median.

Total Paid

$5.3M

0.00% of all spending

Total Claims

47K

Providers

120

Avg Cost/Claim

$113

National Cost Distribution

How much do providers bill per claim for 37253? Based on 112 providers billing this code nationally.

Median

$49.64

Average

$100.64

Std Dev

$143.08

Max

$866.01

Percentile Distribution (Cost per Claim)

p10
$8.19
p25
$16.84
Median
$49.64
p75
$127.42
p90
$245.98
p95
$277.19
p99
$751.61

50% of providers bill between $16.84 and $127.42 per claim for this code.

90% bill between $8.19 and $245.98.

Top 1% bill above $751.61.

About This Procedure

HCPCS code 37253 was billed by 120 providers across 47K claims, totaling $5.3M in Medicaid payments from 2018–2024. This code was used for 35K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$49.64

Providers Billing

112

National Spending

$5.3M

Avg/Median Ratio

2.03×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 37253

#ProviderTotal Paid
11700331196$1.0M
21154356087$891K
31417083783$423K
41982029732$276K
51558578583$264K
61033318175$254K
71134172547$251K
81255899704$205K
91689835563$181K
101346420783$147K
111205835485$145K
121003298340$140K
131912264862$85K
141386754273$82K
151982115457$79K
161669984480$70K
171386935781$62K
181477845824$48K
191194020610$47K
201063947638$45K

Showing top 20 of 120 providers billing this code