51600
HCPCS Procedure Code
HCPCS code 51600 is the #2,512 most-billed Medicaid procedure code, with $5.2M in payments across 37K claims from 2018–2024. The national median cost per claim is $72.98. Costs vary widely — the 90th percentile is $303.15 per claim, 4.2× the median.
Total Paid
$5.2M
0.00% of all spending
Total Claims
37K
Providers
143
Avg Cost/Claim
$143
National Cost Distribution
How much do providers bill per claim for 51600? Based on 131 providers billing this code nationally.
Median
$72.98
Average
$157.12
Std Dev
$283.00
Max
$2,442.99
Percentile Distribution (Cost per Claim)
50% of providers bill between $29.94 and $182.49 per claim for this code.
90% bill between $12.58 and $303.15.
Top 1% bill above $1,426.68.
About This Procedure
HCPCS code 51600 was billed by 143 providers across 37K claims, totaling $5.2M in Medicaid payments from 2018–2024. This code was used for 35K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$72.98
Providers Billing
131
National Spending
$5.2M
Avg/Median Ratio
2.15×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 51600
| # | Provider | Total Paid |
|---|---|---|
| 1 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $1.1M |
| 2 | Children's Hospital Corporation Boston, MA · Clinic/Center | $707K |
| 3 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $362K |
| 4 | 1649726738 | $285K |
| 5 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $251K |
| 6 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $220K |
| 7 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $214K |
| 8 | 1245365196 | $203K |
| 9 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $155K |
| 10 | 1114958584 | $146K |
| 11 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $127K |
| 12 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $123K |
| 13 | 1336192665 | $91K |
| 14 | 1386698710 | $87K |
| 15 | 1982933180 | $75K |
| 16 | 1528012168 | $72K |
| 17 | 1306952726 | $71K |
| 18 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $55K |
| 19 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $50K |
| 20 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $50K |
Showing top 20 of 143 providers billing this code