71555
HCPCS Procedure Code
HCPCS code 71555 is the #3,671 most-billed Medicaid procedure code, with $1.4M in payments across 2,438 claims from 2018–2024. The national median cost per claim is $258.23. Costs vary widely — the 90th percentile is $1,177.79 per claim, 4.6× the median.
Total Paid
$1.4M
0.00% of all spending
Total Claims
2,438
Providers
21
Avg Cost/Claim
$555
National Cost Distribution
How much do providers bill per claim for 71555? Based on 21 providers billing this code nationally.
Median
$258.23
Average
$459.74
Std Dev
$610.94
Max
$2,621.14
Percentile Distribution (Cost per Claim)
50% of providers bill between $75.65 and $557.64 per claim for this code.
90% bill between $53.48 and $1,177.79.
Top 1% bill above $2,349.28.
About This Procedure
HCPCS code 71555 was billed by 21 providers across 2,438 claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 2,215 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$258.23
Providers Billing
21
National Spending
$1.4M
Avg/Median Ratio
1.78×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 71555
| # | Provider | Total Paid |
|---|---|---|
| 1 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $646K |
| 2 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $237K |
| 3 | 1689744450 | $131K |
| 4 | Children's Hospital Corporation Boston, MA · Clinic/Center | $56K |
| 5 | 1669657318 | $48K |
| 6 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $38K |
| 7 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $31K |
| 8 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $30K |
| 9 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $26K |
| 10 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $23K |
| 11 | University Of Wisconsin Hospitals And Clinics Authority Madison, WI · General Acute Care Hospital | $22K |
| 12 | Upmc Children's Hospital Of Pittsburgh Pittsburgh, PA · Clinic/Center | $16K |
| 13 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $15K |
| 14 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $13K |
| 15 | Texas Children's Hospital Houston, TX · General Acute Care Hospital Children | $10K |
| 16 | 1235148727 | $6K |
| 17 | 1508895608 | $2K |
| 18 | Phoenix Children's Hospital Phoenix, AZ · Pediatrics | $863 |
| 19 | Texas Children's Physician Group Houston, TX · Pediatrics | $821 |
| 20 | 1669448882 | $642 |
Showing top 20 of 21 providers billing this code