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#6902 of 11K

53605

HCPCS Procedure Code

HCPCS code 53605 is the #6,902 most-billed Medicaid procedure code, with $37K in payments across 66 claims from 2018–2024. The national median cost per claim is $349.80.

Total Paid

$37K

0.00% of all spending

Total Claims

66

Providers

2

Avg Cost/Claim

$566

National Cost Distribution

How much do providers bill per claim for 53605? Based on 2 providers billing this code nationally.

Median

$349.80

Average

$349.80

Std Dev

$479.68

Max

$688.98

Percentile Distribution (Cost per Claim)

p10
$78.45
p25
$180.21
Median
$349.80
p75
$519.39
p90
$621.15
p95
$655.06
p99
$682.20

50% of providers bill between $180.21 and $519.39 per claim for this code.

90% bill between $78.45 and $621.15.

Top 1% bill above $682.20.

About This Procedure

HCPCS code 53605 was billed by 2 providers across 66 claims, totaling $37K in Medicaid payments from 2018–2024. This code was used for 54 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$349.80

Providers Billing

2

National Spending

$37K

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.

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