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#2944 of 11K

51792

HCPCS Procedure Code

HCPCS code 51792 is the #2,944 most-billed Medicaid procedure code, with $3.0M in payments across 22K claims from 2018–2024. The national median cost per claim is $150.34.

Total Paid

$3.0M

0.00% of all spending

Total Claims

22K

Providers

43

Avg Cost/Claim

$135

National Cost Distribution

How much do providers bill per claim for 51792? Based on 43 providers billing this code nationally.

Median

$150.34

Average

$129.64

Std Dev

$75.78

Max

$269.56

Percentile Distribution (Cost per Claim)

p10
$24.11
p25
$68.39
Median
$150.34
p75
$177.24
p90
$222.28
p95
$249.99
p99
$268.72

50% of providers bill between $68.39 and $177.24 per claim for this code.

90% bill between $24.11 and $222.28.

Top 1% bill above $268.72.

About This Procedure

HCPCS code 51792 was billed by 43 providers across 22K claims, totaling $3.0M in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$150.34

Providers Billing

43

National Spending

$3.0M

Avg/Median Ratio

0.86×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 51792

#ProviderTotal Paid
11255983730$751K
21770051690$379K
31811298953$310K
41154430148$276K
51427022649$213K
61538212170$140K
71952328718$138K
81922092295$135K
91932395068$108K
101043215320$92K
111902999428$79K
121255713541$48K
131144738543$47K
141780772061$35K
151366612434$34K
161164083887$27K
171811184047$26K
181396794574$25K
191447272372$15K
201316437718$14K

Showing top 20 of 43 providers billing this code