54065
HCPCS Procedure Code
HCPCS code 54065 is the #6,256 most-billed Medicaid procedure code, with $80K in payments across 510 claims from 2018–2024. The national median cost per claim is $150.95.
Total Paid
$80K
0.00% of all spending
Total Claims
510
Providers
3
Avg Cost/Claim
$157
National Cost Distribution
How much do providers bill per claim for 54065? Based on 3 providers billing this code nationally.
Median
$150.95
Average
$155.25
Std Dev
$76.64
Max
$233.95
Percentile Distribution (Cost per Claim)
50% of providers bill between $115.89 and $192.45 per claim for this code.
90% bill between $94.86 and $217.35.
Top 1% bill above $232.29.
About This Procedure
HCPCS code 54065 was billed by 3 providers across 510 claims, totaling $80K in Medicaid payments from 2018–2024. This code was used for 385 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$150.95
Providers Billing
3
National Spending
$80K
Avg/Median Ratio
1.03×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.