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#5107 of 11K

70552

HCPCS Procedure Code

HCPCS code 70552 is the #5,107 most-billed Medicaid procedure code, with $288K in payments across 1,934 claims from 2018–2024. The national median cost per claim is $73.72. Costs vary widely — the 90th percentile is $193.41 per claim, 2.6× the median.

Total Paid

$288K

0.00% of all spending

Total Claims

1,934

Providers

23

Avg Cost/Claim

$149

National Cost Distribution

How much do providers bill per claim for 70552? Based on 23 providers billing this code nationally.

Median

$73.72

Average

$106.70

Std Dev

$101.50

Max

$511.98

Percentile Distribution (Cost per Claim)

p10
$44.20
p25
$53.03
Median
$73.72
p75
$114.80
p90
$193.41
p95
$225.83
p99
$449.52

50% of providers bill between $53.03 and $114.80 per claim for this code.

90% bill between $44.20 and $193.41.

Top 1% bill above $449.52.

About This Procedure

HCPCS code 70552 was billed by 23 providers across 1,934 claims, totaling $288K in Medicaid payments from 2018–2024. This code was used for 1,720 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$73.72

Providers Billing

23

National Spending

$288K

Avg/Median Ratio

1.45×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 70552

#ProviderTotal Paid
11033183603$148K
2The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$51K
3Stanford Health Care

Stanford, CA · General Acute Care Hospital

$24K
4Lsu Health Sciences Center Shreveport Faculty Group Practice

Shreveport, LA · Oral & Maxillofacial Surgery

$23K
5Dignity Health

Phoenix, AZ · Rehabilitation Unit

$7K
61699289488$5K
71467560854$4K
81558314534$4K
91396396917$3K
101407880339$3K
111851320394$3K
121356528269$2K
131144742719$2K
141548287113$2K
151306849765$1K
161528000288$1K
171902007339$1K
181710936497$1K
191336192665$1K
201851390850$784

Showing top 20 of 23 providers billing this code