58555
HCPCS Procedure Code
HCPCS code 58555 is the #6,715 most-billed Medicaid procedure code, with $46K in payments across 405 claims from 2018–2024. The national median cost per claim is $145.92.
Total Paid
$46K
0.00% of all spending
Total Claims
405
Providers
3
Avg Cost/Claim
$114
National Cost Distribution
How much do providers bill per claim for 58555? Based on 3 providers billing this code nationally.
Median
$145.92
Average
$151.85
Std Dev
$70.75
Max
$225.37
Percentile Distribution (Cost per Claim)
50% of providers bill between $115.08 and $185.65 per claim for this code.
90% bill between $96.58 and $209.48.
Top 1% bill above $223.78.
About This Procedure
HCPCS code 58555 was billed by 3 providers across 405 claims, totaling $46K in Medicaid payments from 2018–2024. This code was used for 374 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$145.92
Providers Billing
3
National Spending
$46K
Avg/Median Ratio
1.04×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.