78315
HCPCS Procedure Code
HCPCS code 78315 is the #5,340 most-billed Medicaid procedure code, with $225K in payments across 1,432 claims from 2018–2024. The national median cost per claim is $64.80. Costs vary widely — the 90th percentile is $191.21 per claim, 3.0× the median.
Total Paid
$225K
0.00% of all spending
Total Claims
1,432
Providers
10
Avg Cost/Claim
$157
National Cost Distribution
How much do providers bill per claim for 78315? Based on 10 providers billing this code nationally.
Median
$64.80
Average
$95.80
Std Dev
$85.01
Max
$257.49
Percentile Distribution (Cost per Claim)
50% of providers bill between $26.82 and $159.38 per claim for this code.
90% bill between $24.43 and $191.21.
Top 1% bill above $250.86.
About This Procedure
HCPCS code 78315 was billed by 10 providers across 1,432 claims, totaling $225K in Medicaid payments from 2018–2024. This code was used for 889 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$64.80
Providers Billing
10
National Spending
$225K
Avg/Median Ratio
1.48×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 78315
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1558356493 | $197K |
| 2 | 1275630527 | $13K |
| 3 | Temple University Hospital Inc Philadelphia, PA · General Acute Care Hospital | $5K |
| 4 | 1184680480 | $4K |
| 5 | 1912992553 | $2K |
| 6 | 1740283324 | $1K |
| 7 | 1487608931 | $1K |
| 8 | 1386693364 | $790 |
| 9 | University Physicians Incorporated Aurora, CO · Anesthesiology | $623 |
| 10 | 1669408159 | $390 |
Showing top 10 of 10 providers billing this code