51728
HCPCS Procedure Code
HCPCS code 51728 is the #2,181 most-billed Medicaid procedure code, with $8.1M in payments across 53K claims from 2018–2024. The national median cost per claim is $118.19. Costs vary widely — the 90th percentile is $312.38 per claim, 2.6× the median.
Total Paid
$8.1M
0.00% of all spending
Total Claims
53K
Providers
149
Avg Cost/Claim
$154
National Cost Distribution
How much do providers bill per claim for 51728? Based on 149 providers billing this code nationally.
Median
$118.19
Average
$146.95
Std Dev
$102.57
Max
$538.22
Percentile Distribution (Cost per Claim)
50% of providers bill between $73.85 and $194.05 per claim for this code.
90% bill between $44.12 and $312.38.
Top 1% bill above $406.96.
About This Procedure
HCPCS code 51728 was billed by 149 providers across 53K claims, totaling $8.1M in Medicaid payments from 2018–2024. This code was used for 51K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$118.19
Providers Billing
149
National Spending
$8.1M
Avg/Median Ratio
1.24×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 51728
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1154430148 | $1.4M |
| 2 | 1982910741 | $532K |
| 3 | 1427027416 | $392K |
| 4 | 1215940796 | $356K |
| 5 | 1427022649 | $305K |
| 6 | 1902999428 | $268K |
| 7 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $265K |
| 8 | 1982933180 | $240K |
| 9 | 1568599447 | $232K |
| 10 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $216K |
| 11 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $212K |
| 12 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $210K |
| 13 | 1811298953 | $193K |
| 14 | 1396794574 | $188K |
| 15 | Children's Hospital Corporation Boston, MA · Clinic/Center | $156K |
| 16 | 1548567498 | $150K |
| 17 | 1992837702 | $145K |
| 18 | 1932395068 | $144K |
| 19 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $133K |
| 20 | 1710973763 | $132K |
Showing top 20 of 149 providers billing this code