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#6418 of 11K

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)

p10
$116.25
p25
$121.25
Median
$129.60
p75
$130.59
p90
$131.18
p95
$131.38
p99
$131.53

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.