52442
HCPCS Procedure Code
HCPCS code 52442 is the #4,652 most-billed Medicaid procedure code, with $468K in payments across 883 claims from 2018–2024. The national median cost per claim is $779.27. Costs vary widely — the 90th percentile is $2,346.90 per claim, 3.0× the median.
Total Paid
$468K
0.00% of all spending
Total Claims
883
Providers
5
Avg Cost/Claim
$530
National Cost Distribution
How much do providers bill per claim for 52442? Based on 5 providers billing this code nationally.
Median
$779.27
Average
$1,155.50
Std Dev
$1,185.62
Max
$3,157.56
Percentile Distribution (Cost per Claim)
50% of providers bill between $663.46 and $1,130.91 per claim for this code.
90% bill between $293.16 and $2,346.90.
Top 1% bill above $3,076.49.
About This Procedure
HCPCS code 52442 was billed by 5 providers across 883 claims, totaling $468K in Medicaid payments from 2018–2024. This code was used for 871 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$779.27
Providers Billing
5
National Spending
$468K
Avg/Median Ratio
1.48×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 52442
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1700277647 | $270K |
| 2 | 1548567498 | $145K |
| 3 | 1992837702 | $21K |
| 4 | 1295921518 | $21K |
| 5 | 1477630440 | $11K |
Showing top 5 of 5 providers billing this code