52281
HCPCS Procedure Code
HCPCS code 52281 is the #2,839 most-billed Medicaid procedure code, with $3.4M in payments across 23K claims from 2018–2024. The national median cost per claim is $120.41.
Total Paid
$3.4M
0.00% of all spending
Total Claims
23K
Providers
57
Avg Cost/Claim
$146
National Cost Distribution
How much do providers bill per claim for 52281? Based on 54 providers billing this code nationally.
Median
$120.41
Average
$184.10
Std Dev
$407.50
Max
$3,055.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $78.88 and $175.92 per claim for this code.
90% bill between $35.66 and $222.38.
Top 1% bill above $1,668.58.
About This Procedure
HCPCS code 52281 was billed by 57 providers across 23K claims, totaling $3.4M in Medicaid payments from 2018–2024. This code was used for 23K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$120.41
Providers Billing
54
National Spending
$3.4M
Avg/Median Ratio
1.53×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 52281
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1215940796 | $752K |
| 2 | 1528149218 | $549K |
| 3 | 1740433325 | $371K |
| 4 | 1619283322 | $260K |
| 5 | 1316987050 | $233K |
| 6 | 1457997645 | $219K |
| 7 | 1053315614 | $208K |
| 8 | 1750317079 | $157K |
| 9 | 1982017760 | $65K |
| 10 | Ashland Hospital Corporation Ashland, KY · Clinic/Center, Rural Health | $62K |
| 11 | 1871527432 | $60K |
| 12 | 1275559189 | $56K |
| 13 | 1043215320 | $45K |
| 14 | 1891732889 | $43K |
| 15 | 1063663433 | $40K |
| 16 | 1093736795 | $39K |
| 17 | 1780631325 | $31K |
| 18 | 1114045234 | $29K |
| 19 | 1255713541 | $18K |
| 20 | 1972830404 | $17K |
Showing top 20 of 57 providers billing this code