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#4869 of 11K

52315

HCPCS Procedure Code

HCPCS code 52315 is the #4,869 most-billed Medicaid procedure code, with $368K in payments across 1,931 claims from 2018–2024. The national median cost per claim is $142.70.

Total Paid

$368K

0.00% of all spending

Total Claims

1,931

Providers

7

Avg Cost/Claim

$190

National Cost Distribution

How much do providers bill per claim for 52315? Based on 7 providers billing this code nationally.

Median

$142.70

Average

$161.91

Std Dev

$93.01

Max

$270.11

Percentile Distribution (Cost per Claim)

p10
$62.46
p25
$112.03
Median
$142.70
p75
$238.67
p90
$269.48
p95
$269.79
p99
$270.04

50% of providers bill between $112.03 and $238.67 per claim for this code.

90% bill between $62.46 and $269.48.

Top 1% bill above $270.04.

About This Procedure

HCPCS code 52315 was billed by 7 providers across 1,931 claims, totaling $368K in Medicaid payments from 2018–2024. This code was used for 1,709 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$142.70

Providers Billing

7

National Spending

$368K

Avg/Median Ratio

1.13×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 52315

#ProviderTotal Paid
11689741423$237K
21063411148$56K
31285930016$56K
41679814628$11K
51003221458$4K
61215940796$3K
71942254347$2K

Showing top 7 of 7 providers billing this code

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