58605
HCPCS Procedure Code
HCPCS code 58605 is the #6,322 most-billed Medicaid procedure code, with $75K in payments across 766 claims from 2018–2024. The national median cost per claim is $111.72. Costs vary widely — the 90th percentile is $296.23 per claim, 2.7× the median.
Total Paid
$75K
0.00% of all spending
Total Claims
766
Providers
3
Avg Cost/Claim
$98
National Cost Distribution
How much do providers bill per claim for 58605? Based on 3 providers billing this code nationally.
Median
$111.72
Average
$181.12
Std Dev
$140.09
Max
$342.36
Percentile Distribution (Cost per Claim)
50% of providers bill between $100.50 and $227.04 per claim for this code.
90% bill between $93.76 and $296.23.
Top 1% bill above $337.74.
About This Procedure
HCPCS code 58605 was billed by 3 providers across 766 claims, totaling $75K in Medicaid payments from 2018–2024. This code was used for 696 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$111.72
Providers Billing
3
National Spending
$75K
Avg/Median Ratio
1.62×
Moderately skewed
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.