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#2703 of 11K

51701

HCPCS Procedure Code

HCPCS code 51701 is the #2,703 most-billed Medicaid procedure code, with $4.0M in payments across 153K claims from 2018–2024. The national median cost per claim is $22.05. Costs vary widely — the 90th percentile is $75.50 per claim, 3.4× the median.

Total Paid

$4.0M

0.00% of all spending

Total Claims

153K

Providers

413

Avg Cost/Claim

$27

National Cost Distribution

How much do providers bill per claim for 51701? Based on 365 providers billing this code nationally.

Median

$22.05

Average

$33.19

Std Dev

$47.44

Max

$418.30

Percentile Distribution (Cost per Claim)

p10
$1.70
p25
$10.26
Median
$22.05
p75
$36.09
p90
$75.50
p95
$97.65
p99
$248.02

50% of providers bill between $10.26 and $36.09 per claim for this code.

90% bill between $1.70 and $75.50.

Top 1% bill above $248.02.

About This Procedure

HCPCS code 51701 was billed by 413 providers across 153K claims, totaling $4.0M in Medicaid payments from 2018–2024. This code was used for 140K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$22.05

Providers Billing

365

National Spending

$4.0M

Avg/Median Ratio

1.51×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 51701

#ProviderTotal Paid
1Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$719K
2Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$340K
31902865355$262K
4Long Island Jewish Medical Center

New Hyde Park, NY · General Acute Care Hospital

$142K
5Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$133K
61710943881$111K
71063663433$101K
8State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$84K
91346297843$78K
101255352423$70K
111376577247$69K
12Childrens Hospital Of Philadelphia

Philadelphia, PA · General Acute Care Hospital Children

$64K
131821041617$63K
141841407665$60K
15University Of Kentucky

Lexington, KY · General Acute Care Hospital

$55K
161780042093$54K
17Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$50K
181548393127$46K
191750343216$45K
201013497213$43K

Showing top 20 of 413 providers billing this code