52005
HCPCS Procedure Code
HCPCS code 52005 is the #5,112 most-billed Medicaid procedure code, with $287K in payments across 1,543 claims from 2018–2024. The national median cost per claim is $120.56. Costs vary widely — the 90th percentile is $787.40 per claim, 6.5× the median.
Total Paid
$287K
0.00% of all spending
Total Claims
1,543
Providers
16
Avg Cost/Claim
$186
National Cost Distribution
How much do providers bill per claim for 52005? Based on 14 providers billing this code nationally.
Median
$120.56
Average
$276.01
Std Dev
$337.96
Max
$1,087.57
Percentile Distribution (Cost per Claim)
50% of providers bill between $62.32 and $315.12 per claim for this code.
90% bill between $23.89 and $787.40.
Top 1% bill above $1,060.40.
About This Procedure
HCPCS code 52005 was billed by 16 providers across 1,543 claims, totaling $287K in Medicaid payments from 2018–2024. This code was used for 1,423 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$120.56
Providers Billing
14
National Spending
$287K
Avg/Median Ratio
2.29×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 52005
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $122K |
| 2 | 1093736795 | $37K |
| 3 | 1295023547 | $34K |
| 4 | 1932411493 | $31K |
| 5 | 1841229705 | $23K |
| 6 | 1104899319 | $16K |
| 7 | 1124588793 | $9K |
| 8 | 1932381530 | $7K |
| 9 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $4K |
| 10 | 1649217514 | $2K |
| 11 | 1740204379 | $2K |
| 12 | 1710931985 | $1K |
| 13 | 1285930016 | $888 |
| 14 | 1528149218 | $228 |
| 15 | 1184197683 | $0 |
| 16 | 1487680518 | $0 |
Showing top 16 of 16 providers billing this code