#3228 of 11K

51700

HCPCS Procedure Code

HCPCS code 51700 is the #3,228 most-billed Medicaid procedure code, with $2.2M in payments across 48K claims from 2018–2024. The national median cost per claim is $34.37. Costs vary widely — the 90th percentile is $118.64 per claim, 3.5× the median.

Total Paid

$2.2M

0.00% of all spending

Total Claims

48K

Providers

Avg Cost/Claim

$45

National Cost Distribution

How much do providers bill per claim for 51700? Based on 97 providers billing this code nationally.

Median

$34.37

Average

$51.42

Std Dev

$59.66

Max

$359.72

Percentile Distribution (Cost per Claim)

p10

$8.40

p25

$18.04

Median

$34.37

p75

$55.90

p90

$118.64

p95

$174.18

p99

$276.44

50% of providers bill between $18.04 and $55.90 per claim for this code.

90% bill between $8.40 and $118.64.

Top 1% bill above $276.44.

About This Procedure

HCPCS code 51700 was billed by 98 providers across 48K claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 32K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$34.37

Providers Billing

National Spending

$2.2M

Avg/Median Ratio

1.50×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 51700

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1467513739	$249K	$54.26	1.6× median	Above Median
2	1366459570	$141K	$272.97	7.9× median	Top 10%
3	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$141K	$120.92	3.5× median	Top 10%
4	1306281126	$139K	$143.22	4.2× median	Top 10%
5	1689741423	$120K	$43.60	1.3× median	Above Median
6	1730254749	$114K	$32.84	1.0× median	Below Median
7	1366433195	$113K	$233.34	6.8× median	Top 10%
8	The Metrohealth System Cleveland, OH · General Acute Care Hospital	$98K	$168.57	4.9× median	Top 10%
9	1417211533	$90K	$48.59	1.4× median	Above Median
10	Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital	$89K	$196.63	5.7× median	Top 10%
11	Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment	$80K	$82.40	2.4× median	Above 75th
12	1326093873	$62K	$30.11	0.9× median	Below Median
13	1093158347	$57K	$34.95	1.0× median	Above Median
14	1922248772	$56K	$32.82	1.0× median	Below Median
15	1295023547	$43K	$33.16	1.0× median	Below Median
16	1639518087	$38K	$39.12	1.1× median	Above Median
17	1952417438	$37K	$5.57	0.2× median	Below Median
18	1568653780	$35K	$40.90	1.2× median	Above Median
19	1831132133	$35K	$129.10	3.8× median	Top 10%
20	Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent	$30K	$31.14	0.9× median	Below Median

Showing top 20 of 98 providers billing this code

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51701$4.0M 51702$1.7M 51705$1.7M 51703$101K 51710$19K

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