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#6338 of 11K

58552

HCPCS Procedure Code

HCPCS code 58552 is the #6,338 most-billed Medicaid procedure code, with $73K in payments across 139 claims from 2018–2024. The national median cost per claim is $104.93. Costs vary widely — the 90th percentile is $580.11 per claim, 5.5× the median.

Total Paid

$73K

0.00% of all spending

Total Claims

139

Providers

3

Avg Cost/Claim

$524

National Cost Distribution

How much do providers bill per claim for 58552? Based on 3 providers billing this code nationally.

Median

$104.93

Average

$289.33

Std Dev

$355.28

Max

$698.91

Percentile Distribution (Cost per Claim)

p10
$72.32
p25
$84.55
Median
$104.93
p75
$401.92
p90
$580.11
p95
$639.51
p99
$687.03

50% of providers bill between $84.55 and $401.92 per claim for this code.

90% bill between $72.32 and $580.11.

Top 1% bill above $687.03.

About This Procedure

HCPCS code 58552 was billed by 3 providers across 139 claims, totaling $73K in Medicaid payments from 2018–2024. This code was used for 117 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$104.93

Providers Billing

3

National Spending

$73K

Avg/Median Ratio

2.76×

Highly skewed — outlier-driven

Provider Coverage

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