52260
HCPCS Procedure Code
HCPCS code 52260 is the #5,921 most-billed Medicaid procedure code, with $118K in payments across 479 claims from 2018–2024. The national median cost per claim is $359.45. Costs vary widely — the 90th percentile is $857.55 per claim, 2.4× the median.
Total Paid
$118K
0.00% of all spending
Total Claims
479
Providers
7
Avg Cost/Claim
$247
National Cost Distribution
How much do providers bill per claim for 52260? Based on 7 providers billing this code nationally.
Median
$359.45
Average
$388.41
Std Dev
$354.32
Max
$940.24
Percentile Distribution (Cost per Claim)
50% of providers bill between $87.65 and $581.65 per claim for this code.
90% bill between $82.15 and $857.55.
Top 1% bill above $931.97.
About This Procedure
HCPCS code 52260 was billed by 7 providers across 479 claims, totaling $118K in Medicaid payments from 2018–2024. This code was used for 425 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$359.45
Providers Billing
7
National Spending
$118K
Avg/Median Ratio
1.08×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 52260
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1598868655 | $43K |
| 2 | 1285930016 | $24K |
| 3 | 1093736795 | $19K |
| 4 | 1740488386 | $17K |
| 5 | 1407877723 | $10K |
| 6 | 1063663433 | $4K |
| 7 | 1407995822 | $967 |
Showing top 7 of 7 providers billing this code