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#7772 of 11K

58561

HCPCS Procedure Code

HCPCS code 58561 is the #7,772 most-billed Medicaid procedure code, with $10K in payments across 42 claims from 2018–2024. The national median cost per claim is $226.74.

Total Paid

$10K

0.00% of all spending

Total Claims

42

Providers

2

Avg Cost/Claim

$246

National Cost Distribution

How much do providers bill per claim for 58561? Based on 2 providers billing this code nationally.

Median

$226.74

Average

$226.74

Std Dev

$72.28

Max

$277.84

Percentile Distribution (Cost per Claim)

p10
$185.85
p25
$201.18
Median
$226.74
p75
$252.29
p90
$267.62
p95
$272.73
p99
$276.82

50% of providers bill between $201.18 and $252.29 per claim for this code.

90% bill between $185.85 and $267.62.

Top 1% bill above $276.82.

About This Procedure

HCPCS code 58561 was billed by 2 providers across 42 claims, totaling $10K in Medicaid payments from 2018–2024. This code was used for 42 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$226.74

Providers Billing

2

National Spending

$10K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.