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#7212 of 11K

57465

HCPCS Procedure Code

HCPCS code 57465 is the #7,212 most-billed Medicaid procedure code, with $25K in payments across 634 claims from 2018–2024. The national median cost per claim is $40.07.

Total Paid

$25K

0.00% of all spending

Total Claims

634

Providers

7

Avg Cost/Claim

$39

National Cost Distribution

How much do providers bill per claim for 57465? Based on 7 providers billing this code nationally.

Median

$40.07

Average

$38.43

Std Dev

$6.84

Max

$49.73

Percentile Distribution (Cost per Claim)

p10
$31.64
p25
$32.62
Median
$40.07
p75
$41.71
p90
$44.93
p95
$47.33
p99
$49.25

50% of providers bill between $32.62 and $41.71 per claim for this code.

90% bill between $31.64 and $44.93.

Top 1% bill above $49.25.

About This Procedure

HCPCS code 57465 was billed by 7 providers across 634 claims, totaling $25K in Medicaid payments from 2018–2024. This code was used for 580 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$40.07

Providers Billing

7

National Spending

$25K

Avg/Median Ratio

0.96×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 57465

#ProviderTotal Paid
11578832242$19K
21700871795$3K
31396002002$856
41013042480$597
51558750281$542
61154407013$501
71598906166$421

Showing top 7 of 7 providers billing this code