54162
HCPCS Procedure Code
HCPCS code 54162 is the #4,795 most-billed Medicaid procedure code, with $397K in payments across 941 claims from 2018–2024. The national median cost per claim is $163.52. Costs vary widely — the 90th percentile is $571.23 per claim, 3.5× the median.
Total Paid
$397K
0.00% of all spending
Total Claims
941
Providers
17
Avg Cost/Claim
$422
National Cost Distribution
How much do providers bill per claim for 54162? Based on 17 providers billing this code nationally.
Median
$163.52
Average
$341.01
Std Dev
$595.85
Max
$2,475.91
Percentile Distribution (Cost per Claim)
50% of providers bill between $120.17 and $204.43 per claim for this code.
90% bill between $92.92 and $571.23.
Top 1% bill above $2,251.99.
About This Procedure
HCPCS code 54162 was billed by 17 providers across 941 claims, totaling $397K in Medicaid payments from 2018–2024. This code was used for 854 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$163.52
Providers Billing
17
National Spending
$397K
Avg/Median Ratio
2.09×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 54162
| # | Provider | Total Paid |
|---|---|---|
| 1 | Dayton Children's Hospital Dayton, OH · General Acute Care Hospital, Children | $160K |
| 2 | University Of Texas Medical Branch At Galveston Galveston, TX · Clinic/Center, Ambulatory Surgical | $141K |
| 3 | 1477951770 | $17K |
| 4 | 1427027416 | $15K |
| 5 | 1134298268 | $11K |
| 6 | 1508982166 | $10K |
| 7 | Utmb Faculty Group Practice Galveston, TX · Anesthesiology | $9K |
| 8 | 1598076226 | $6K |
| 9 | 1235439613 | $5K |
| 10 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $4K |
| 11 | 1093024101 | $3K |
| 12 | 1427016385 | $3K |
| 13 | 1477503027 | $3K |
| 14 | 1427098169 | $3K |
| 15 | 1083034839 | $2K |
| 16 | 1275988321 | $2K |
| 17 | 1225192610 | $1K |
Showing top 17 of 17 providers billing this code