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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1689741423 | $237K |
| 2 | 1063411148 | $56K |
| 3 | 1285930016 | $56K |
| 4 | 1679814628 | $11K |
| 5 | 1003221458 | $4K |
| 6 | 1215940796 | $3K |
| 7 | 1942254347 | $2K |
Showing top 7 of 7 providers billing this code