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#4798 of 11K

52214

HCPCS Procedure Code

HCPCS code 52214 is the #4,798 most-billed Medicaid procedure code, with $396K in payments across 878 claims from 2018–2024. The national median cost per claim is $535.23.

Total Paid

$396K

0.00% of all spending

Total Claims

878

Providers

8

Avg Cost/Claim

$451

National Cost Distribution

How much do providers bill per claim for 52214? Based on 8 providers billing this code nationally.

Median

$535.23

Average

$609.48

Std Dev

$414.97

Max

$1,399.77

Percentile Distribution (Cost per Claim)

p10
$250.61
p25
$381.56
Median
$535.23
p75
$802.10
p90
$1,028.80
p95
$1,214.29
p99
$1,362.67

50% of providers bill between $381.56 and $802.10 per claim for this code.

90% bill between $250.61 and $1,028.80.

Top 1% bill above $1,362.67.

About This Procedure

HCPCS code 52214 was billed by 8 providers across 878 claims, totaling $396K in Medicaid payments from 2018–2024. This code was used for 822 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$535.23

Providers Billing

8

National Spending

$396K

Avg/Median Ratio

1.14×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 52214

#ProviderTotal Paid
11760402440$191K
21427022649$84K
31407805971$48K
41134291420$33K
51154430148$19K
61972774248$11K
71740488386$7K
81487821757$3K

Showing top 8 of 8 providers billing this code

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