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#5649 of 11K

59051

HCPCS Procedure Code

HCPCS code 59051 is the #5,649 most-billed Medicaid procedure code, with $161K in payments across 7K claims from 2018–2024. The national median cost per claim is $32.11.

Total Paid

$161K

0.00% of all spending

Total Claims

7K

Providers

15

Avg Cost/Claim

$24

National Cost Distribution

How much do providers bill per claim for 59051? Based on 14 providers billing this code nationally.

Median

$32.11

Average

$34.98

Std Dev

$23.33

Max

$93.10

Percentile Distribution (Cost per Claim)

p10
$11.43
p25
$19.85
Median
$32.11
p75
$46.90
p90
$54.54
p95
$70.11
p99
$88.50

50% of providers bill between $19.85 and $46.90 per claim for this code.

90% bill between $11.43 and $54.54.

Top 1% bill above $88.50.

About This Procedure

HCPCS code 59051 was billed by 15 providers across 7K claims, totaling $161K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$32.11

Providers Billing

14

National Spending

$161K

Avg/Median Ratio

1.09×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 59051

#ProviderTotal Paid
11285928770$113K
21740711449$17K
3Barrio Comprehensive Family Health Care Center, Inc.

San Antonio, TX · Clinic/Center, Multi-Specialty

$9K
41053344077$5K
51336375351$4K
61073687356$3K
71740639913$2K
81871566521$2K
91932605052$2K
101245668607$1K
111841491008$659
121225147234$612
131134356348$566
141760486575$180
151053436899$0

Showing top 15 of 15 providers billing this code

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