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#6677 of 11K

57505

HCPCS Procedure Code

HCPCS code 57505 is the #6,677 most-billed Medicaid procedure code, with $48K in payments across 1,996 claims from 2018–2024. The national median cost per claim is $21.92. Costs vary widely — the 90th percentile is $263.57 per claim, 12.0× the median.

Total Paid

$48K

0.00% of all spending

Total Claims

1,996

Providers

8

Avg Cost/Claim

$24

National Cost Distribution

How much do providers bill per claim for 57505? Based on 8 providers billing this code nationally.

Median

$21.92

Average

$85.94

Std Dev

$128.07

Max

$344.23

Percentile Distribution (Cost per Claim)

p10
$8.86
p25
$12.88
Median
$21.92
p75
$87.89
p90
$263.57
p95
$303.90
p99
$336.16

50% of providers bill between $12.88 and $87.89 per claim for this code.

90% bill between $8.86 and $263.57.

Top 1% bill above $336.16.

About This Procedure

HCPCS code 57505 was billed by 8 providers across 1,996 claims, totaling $48K in Medicaid payments from 2018–2024. This code was used for 1,339 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$21.92

Providers Billing

8

National Spending

$48K

Avg/Median Ratio

3.92×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 57505

#ProviderTotal Paid
11760756860$27K
21952347247$4K
31790884633$4K
41689059222$4K
51336245802$3K
61659312593$3K
71124588793$2K
81659477255$151

Showing top 8 of 8 providers billing this code