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#3671 of 11K

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)

p10
$53.48
p25
$75.65
Median
$258.23
p75
$557.64
p90
$1,177.79
p95
$1,261.83
p99
$2,349.28

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

#ProviderTotal Paid
1Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$646K
2Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$237K
31689744450$131K
4Children's Hospital Corporation

Boston, MA · Clinic/Center

$56K
51669657318$48K
6Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$38K
7The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$31K
8Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$30K
9Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$26K
10Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$23K
11University Of Wisconsin Hospitals And Clinics Authority

Madison, WI · General Acute Care Hospital

$22K
12Upmc Children's Hospital Of Pittsburgh

Pittsburgh, PA · Clinic/Center

$16K
13Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$15K
14The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$13K
15Texas Children's Hospital

Houston, TX · General Acute Care Hospital Children

$10K
161235148727$6K
171508895608$2K
18Phoenix Children's Hospital

Phoenix, AZ · Pediatrics

$863
19Texas Children's Physician Group

Houston, TX · Pediatrics

$821
201669448882$642

Showing top 20 of 21 providers billing this code

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