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#7062 of 11K

51727

HCPCS Procedure Code

HCPCS code 51727 is the #7,062 most-billed Medicaid procedure code, with $29K in payments across 434 claims from 2018–2024. The national median cost per claim is $68.42. Costs vary widely — the 90th percentile is $240.11 per claim, 3.5× the median.

Total Paid

$29K

0.00% of all spending

Total Claims

434

Providers

4

Avg Cost/Claim

$68

National Cost Distribution

How much do providers bill per claim for 51727? Based on 4 providers billing this code nationally.

Median

$68.42

Average

$119.24

Std Dev

$131.13

Max

$313.69

Percentile Distribution (Cost per Claim)

p10
$39.04
p25
$57.92
Median
$68.42
p75
$129.74
p90
$240.11
p95
$276.90
p99
$306.33

50% of providers bill between $57.92 and $129.74 per claim for this code.

90% bill between $39.04 and $240.11.

Top 1% bill above $306.33.

About This Procedure

HCPCS code 51727 was billed by 4 providers across 434 claims, totaling $29K in Medicaid payments from 2018–2024. This code was used for 302 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$68.42

Providers Billing

4

National Spending

$29K

Avg/Median Ratio

1.74×

Moderately skewed

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.