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#6495 of 11K

54056

HCPCS Procedure Code

HCPCS code 54056 is the #6,495 most-billed Medicaid procedure code, with $61K in payments across 1,055 claims from 2018–2024. The national median cost per claim is $78.27.

Total Paid

$61K

0.00% of all spending

Total Claims

1,055

Providers

9

Avg Cost/Claim

$57

National Cost Distribution

How much do providers bill per claim for 54056? Based on 9 providers billing this code nationally.

Median

$78.27

Average

$76.71

Std Dev

$37.02

Max

$152.30

Percentile Distribution (Cost per Claim)

p10
$44.75
p25
$48.88
Median
$78.27
p75
$82.54
p90
$121.37
p95
$136.83
p99
$149.20

50% of providers bill between $48.88 and $82.54 per claim for this code.

90% bill between $44.75 and $121.37.

Top 1% bill above $149.20.

About This Procedure

HCPCS code 54056 was billed by 9 providers across 1,055 claims, totaling $61K in Medicaid payments from 2018–2024. This code was used for 801 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$78.27

Providers Billing

9

National Spending

$61K

Avg/Median Ratio

0.98×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 54056

#ProviderTotal Paid
11235671389$22K
21134349954$12K
3Planned Parenthood/orange And San Bernardino Counties, Inc.

Orange, CA · Clinic/Center, Ambulatory Family Planning Facility

$9K
41568873727$7K
51962692152$4K
61174565600$2K
71679507537$2K
81447299797$1K
91295023547$939

Showing top 9 of 9 providers billing this code

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