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#7552 of 11K

52285

HCPCS Procedure Code

HCPCS code 52285 is the #7,552 most-billed Medicaid procedure code, with $15K in payments across 188 claims from 2018–2024. The national median cost per claim is $123.02.

Total Paid

$15K

0.00% of all spending

Total Claims

188

Providers

2

Avg Cost/Claim

$79

National Cost Distribution

How much do providers bill per claim for 52285? Based on 2 providers billing this code nationally.

Median

$123.02

Average

$123.02

Std Dev

$85.00

Max

$183.13

Percentile Distribution (Cost per Claim)

p10
$74.94
p25
$92.97
Median
$123.02
p75
$153.08
p90
$171.11
p95
$177.12
p99
$181.93

50% of providers bill between $92.97 and $153.08 per claim for this code.

90% bill between $74.94 and $171.11.

Top 1% bill above $181.93.

About This Procedure

HCPCS code 52285 was billed by 2 providers across 188 claims, totaling $15K in Medicaid payments from 2018–2024. This code was used for 166 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$123.02

Providers Billing

2

National Spending

$15K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.