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#7605 of 11K

52351

HCPCS Procedure Code

HCPCS code 52351 is the #7,605 most-billed Medicaid procedure code, with $13K in payments across 105 claims from 2018–2024. The national median cost per claim is $132.63.

Total Paid

$13K

0.00% of all spending

Total Claims

105

Providers

4

Avg Cost/Claim

$128

National Cost Distribution

How much do providers bill per claim for 52351? Based on 4 providers billing this code nationally.

Median

$132.63

Average

$118.98

Std Dev

$43.13

Max

$154.38

Percentile Distribution (Cost per Claim)

p10
$78.13
p25
$110.91
Median
$132.63
p75
$140.70
p90
$148.91
p95
$151.64
p99
$153.83

50% of providers bill between $110.91 and $140.70 per claim for this code.

90% bill between $78.13 and $148.91.

Top 1% bill above $153.83.

About This Procedure

HCPCS code 52351 was billed by 4 providers across 105 claims, totaling $13K in Medicaid payments from 2018–2024. This code was used for 97 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$132.63

Providers Billing

4

National Spending

$13K

Avg/Median Ratio

0.90×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.