41520
HCPCS Procedure Code
HCPCS code 41520 is the #6,413 most-billed Medicaid procedure code, with $67K in payments across 261 claims from 2018–2024. The national median cost per claim is $153.78. Costs vary widely — the 90th percentile is $1,167.43 per claim, 7.6× the median.
Total Paid
$67K
0.00% of all spending
Total Claims
261
Providers
7
Avg Cost/Claim
$256
National Cost Distribution
How much do providers bill per claim for 41520? Based on 7 providers billing this code nationally.
Median
$153.78
Average
$448.32
Std Dev
$555.22
Max
$1,506.64
Percentile Distribution (Cost per Claim)
50% of providers bill between $137.90 and $560.46 per claim for this code.
90% bill between $113.29 and $1,167.43.
Top 1% bill above $1,472.72.
About This Procedure
HCPCS code 41520 was billed by 7 providers across 261 claims, totaling $67K in Medicaid payments from 2018–2024. This code was used for 211 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$153.78
Providers Billing
7
National Spending
$67K
Avg/Median Ratio
2.92×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 41520
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1427007046 | $18K |
| 2 | 1245365196 | $18K |
| 3 | 1275809394 | $15K |
| 4 | 1184900102 | $11K |
| 5 | 1437555265 | $2K |
| 6 | 1679631360 | $2K |
| 7 | 1639285513 | $1K |
Showing top 7 of 7 providers billing this code