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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1235671389 | $22K |
| 2 | 1134349954 | $12K |
| 3 | Planned Parenthood/orange And San Bernardino Counties, Inc. Orange, CA · Clinic/Center, Ambulatory Family Planning Facility | $9K |
| 4 | 1568873727 | $7K |
| 5 | 1962692152 | $4K |
| 6 | 1174565600 | $2K |
| 7 | 1679507537 | $2K |
| 8 | 1447299797 | $1K |
| 9 | 1295023547 | $939 |
Showing top 9 of 9 providers billing this code