75565
HCPCS Procedure Code
HCPCS code 75565 is the #3,710 most-billed Medicaid procedure code, with $1.3M in payments across 16K claims from 2018–2024. The national median cost per claim is $11.17. Costs vary widely — the 90th percentile is $267.97 per claim, 24.0× the median.
Total Paid
$1.3M
0.00% of all spending
Total Claims
16K
Providers
64
Avg Cost/Claim
$81
National Cost Distribution
How much do providers bill per claim for 75565? Based on 57 providers billing this code nationally.
Median
$11.17
Average
$61.39
Std Dev
$122.85
Max
$641.67
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.03 and $39.28 per claim for this code.
90% bill between $4.27 and $267.97.
Top 1% bill above $512.63.
About This Procedure
HCPCS code 75565 was billed by 64 providers across 16K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.17
Providers Billing
57
National Spending
$1.3M
Avg/Median Ratio
5.50×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 75565
| # | Provider | Total Paid |
|---|---|---|
| 1 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $575K |
| 2 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $261K |
| 3 | Texas Children's Hospital Houston, TX · General Acute Care Hospital Children | $71K |
| 4 | 1689744450 | $65K |
| 5 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $54K |
| 6 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $39K |
| 7 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $32K |
| 8 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $31K |
| 9 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $28K |
| 10 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $27K |
| 11 | 1669657318 | $21K |
| 12 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $19K |
| 13 | Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology | $11K |
| 14 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $9K |
| 15 | Variety Children's Hospital Miami, FL · General Acute Care Hospital Children | $8K |
| 16 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $6K |
| 17 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $5K |
| 18 | Children's Hospital Corporation Boston, MA · Clinic/Center | $4K |
| 19 | 1235148727 | $3K |
| 20 | University Of Cincinnati Medical Center, Llc Cincinnati, OH · General Acute Care Hospital | $3K |
Showing top 20 of 64 providers billing this code