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#6510 of 11K

58671

HCPCS Procedure Code

HCPCS code 58671 is the #6,510 most-billed Medicaid procedure code, with $60K in payments across 211 claims from 2018–2024. The national median cost per claim is $213.67. Costs vary widely — the 90th percentile is $1,373.14 per claim, 6.4× the median.

Total Paid

$60K

0.00% of all spending

Total Claims

211

Providers

4

Avg Cost/Claim

$283

National Cost Distribution

How much do providers bill per claim for 58671? Based on 4 providers billing this code nationally.

Median

$213.67

Average

$615.97

Std Dev

$836.25

Max

$1,869.90

Percentile Distribution (Cost per Claim)

p10
$180.63
p25
$201.63
Median
$213.67
p75
$628.01
p90
$1,373.14
p95
$1,621.52
p99
$1,820.22

50% of providers bill between $201.63 and $628.01 per claim for this code.

90% bill between $180.63 and $1,373.14.

Top 1% bill above $1,820.22.

About This Procedure

HCPCS code 58671 was billed by 4 providers across 211 claims, totaling $60K in Medicaid payments from 2018–2024. This code was used for 197 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$213.67

Providers Billing

4

National Spending

$60K

Avg/Median Ratio

2.88×

Highly skewed — outlier-driven

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.