Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#3468 of 11K

52224

HCPCS Procedure Code

HCPCS code 52224 is the #3,468 most-billed Medicaid procedure code, with $1.6M in payments across 4,024 claims from 2018–2024. The national median cost per claim is $343.46. Costs vary widely — the 90th percentile is $775.72 per claim, 2.3× the median.

Total Paid

$1.6M

0.00% of all spending

Total Claims

4,024

Providers

20

Avg Cost/Claim

$407

National Cost Distribution

How much do providers bill per claim for 52224? Based on 20 providers billing this code nationally.

Median

$343.46

Average

$358.52

Std Dev

$276.71

Max

$1,006.89

Percentile Distribution (Cost per Claim)

p10
$67.63
p25
$149.96
Median
$343.46
p75
$462.13
p90
$775.72
p95
$909.21
p99
$987.36

50% of providers bill between $149.96 and $462.13 per claim for this code.

90% bill between $67.63 and $775.72.

Top 1% bill above $987.36.

About This Procedure

HCPCS code 52224 was billed by 20 providers across 4,024 claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 3,819 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$343.46

Providers Billing

20

National Spending

$1.6M

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 52224

#ProviderTotal Paid
11841482577$979K
21710282082$272K
31629305057$84K
41851336184$61K
51215940796$41K
61225053135$40K
71750317079$31K
81871527432$22K
91457653834$18K
101437179710$17K
111922092295$14K
121407805971$14K
131740488386$13K
141285930016$7K
151932127271$6K
161447272372$5K
171578608949$5K
181578668661$5K
191689741423$4K
201558889956$2K

Showing top 20 of 20 providers billing this code

Related Procedures