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#1567 of 11K

59515

HCPCS Procedure Code

HCPCS code 59515 is the #1,567 most-billed Medicaid procedure code, with $19.0M in payments across 29K claims from 2018–2024. The national median cost per claim is $786.24.

Total Paid

$19.0M

0.00% of all spending

Total Claims

29K

Providers

162

Avg Cost/Claim

$663

National Cost Distribution

How much do providers bill per claim for 59515? Based on 161 providers billing this code nationally.

Median

$786.24

Average

$755.32

Std Dev

$368.85

Max

$2,019.83

Percentile Distribution (Cost per Claim)

p10
$190.82
p25
$527.68
Median
$786.24
p75
$1,012.63
p90
$1,189.57
p95
$1,267.47
p99
$1,436.75

50% of providers bill between $527.68 and $1,012.63 per claim for this code.

90% bill between $190.82 and $1,189.57.

Top 1% bill above $1,436.75.

About This Procedure

HCPCS code 59515 was billed by 162 providers across 29K claims, totaling $19.0M in Medicaid payments from 2018–2024. This code was used for 25K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$786.24

Providers Billing

161

National Spending

$19.0M

Avg/Median Ratio

0.96×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 59515

#ProviderTotal Paid
11922210517$1.6M
21003280546$1.1M
31114022431$1.1M
41982116877$1.0M
51174955256$844K
61386823243$722K
71083899280$710K
81114025749$700K
91285928770$613K
101134214380$576K
111225335698$497K
121932376795$486K
131760798227$380K
141215164363$356K
151558477513$341K
161770522856$324K
171457482192$316K
181689752461$296K
191487880613$286K
201316036353$286K

Showing top 20 of 162 providers billing this code