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#2952 of 11K

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)

p10
$22.70
p25
$39.95
Median
$106.66
p75
$212.04
p90
$253.18
p95
$266.55
p99
$277.25

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

#ProviderTotal Paid
11255983730$1.9M
21770051690$926K
3Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$54K
4Children's Hospital Corporation

Boston, MA · Clinic/Center

$12K
51871531772$12K
61144234055$3K
71174916522$237

Showing top 7 of 7 providers billing this code

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