56515
HCPCS Procedure Code
HCPCS code 56515 is the #6,418 most-billed Medicaid procedure code, with $66K in payments across 532 claims from 2018–2024. The national median cost per claim is $129.60.
Total Paid
$66K
0.00% of all spending
Total Claims
532
Providers
3
Avg Cost/Claim
$124
National Cost Distribution
How much do providers bill per claim for 56515? Based on 3 providers billing this code nationally.
Median
$129.60
Average
$124.69
Std Dev
$10.25
Max
$131.57
Percentile Distribution (Cost per Claim)
50% of providers bill between $121.25 and $130.59 per claim for this code.
90% bill between $116.25 and $131.18.
Top 1% bill above $131.53.
About This Procedure
HCPCS code 56515 was billed by 3 providers across 532 claims, totaling $66K in Medicaid payments from 2018–2024. This code was used for 441 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$129.60
Providers Billing
3
National Spending
$66K
Avg/Median Ratio
0.96×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.