51785
HCPCS Procedure Code
HCPCS code 51785 is the #2,952 most-billed Medicaid procedure code, with $3.0M in payments across 12K claims from 2018–2024. The national median cost per claim is $106.66. Costs vary widely — the 90th percentile is $253.18 per claim, 2.4× the median.
Total Paid
$3.0M
0.00% of all spending
Total Claims
12K
Providers
7
Avg Cost/Claim
$247
National Cost Distribution
How much do providers bill per claim for 51785? Based on 7 providers billing this code nationally.
Median
$106.66
Average
$129.48
Std Dev
$105.79
Max
$279.93
Percentile Distribution (Cost per Claim)
50% of providers bill between $39.95 and $212.04 per claim for this code.
90% bill between $22.70 and $253.18.
Top 1% bill above $277.25.
About This Procedure
HCPCS code 51785 was billed by 7 providers across 12K claims, totaling $3.0M in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$106.66
Providers Billing
7
National Spending
$3.0M
Avg/Median Ratio
1.21×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 51785
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1255983730 | $1.9M |
| 2 | 1770051690 | $926K |
| 3 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $54K |
| 4 | Children's Hospital Corporation Boston, MA · Clinic/Center | $12K |
| 5 | 1871531772 | $12K |
| 6 | 1144234055 | $3K |
| 7 | 1174916522 | $237 |
Showing top 7 of 7 providers billing this code