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#7317 of 11K

56501

HCPCS Procedure Code

HCPCS code 56501 is the #7,317 most-billed Medicaid procedure code, with $21K in payments across 438 claims from 2018–2024. The national median cost per claim is $48.62.

Total Paid

$21K

0.00% of all spending

Total Claims

438

Providers

3

Avg Cost/Claim

$48

National Cost Distribution

How much do providers bill per claim for 56501? Based on 3 providers billing this code nationally.

Median

$48.62

Average

$62.50

Std Dev

$25.40

Max

$91.82

Percentile Distribution (Cost per Claim)

p10
$47.37
p25
$47.84
Median
$48.62
p75
$70.22
p90
$83.18
p95
$87.50
p99
$90.95

50% of providers bill between $47.84 and $70.22 per claim for this code.

90% bill between $47.37 and $83.18.

Top 1% bill above $90.95.

About This Procedure

HCPCS code 56501 was billed by 3 providers across 438 claims, totaling $21K in Medicaid payments from 2018–2024. This code was used for 214 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$48.62

Providers Billing

3

National Spending

$21K

Avg/Median Ratio

1.29×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.