89051
HCPCS Procedure Code
HCPCS code 89051 is the #3,350 most-billed Medicaid procedure code, with $1.9M in payments across 373K claims from 2018–2024. The national median cost per claim is $3.10. Costs vary widely — the 90th percentile is $8.39 per claim, 2.7× the median.
Total Paid
$1.9M
0.00% of all spending
Total Claims
373K
Providers
516
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for 89051? Based on 471 providers billing this code nationally.
Median
$3.10
Average
$6.56
Std Dev
$20.32
Max
$310.82
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.41 and $4.31 per claim for this code.
90% bill between $0.37 and $8.39.
Top 1% bill above $82.62.
About This Procedure
HCPCS code 89051 was billed by 516 providers across 373K claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 277K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.10
Providers Billing
471
National Spending
$1.9M
Avg/Median Ratio
2.12×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 89051
| # | Provider | Total Paid |
|---|---|---|
| 1 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $166K |
| 2 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $129K |
| 3 | Johns Hopkins All Children's Hospital Inc St Petersburg, FL · General Acute Care Hospital Children | $125K |
| 4 | Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology | $106K |
| 5 | 1699874248 | $91K |
| 6 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $58K |
| 7 | Southern Baptist Hospital Of Florida Inc Jacksonville, FL · General Acute Care Hospital | $39K |
| 8 | 1376593442 | $35K |
| 9 | 1235196510 | $33K |
| 10 | 1922008150 | $32K |
| 11 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $32K |
| 12 | 1316241102 | $32K |
| 13 | 1588712285 | $31K |
| 14 | 1053334755 | $26K |
| 15 | Spartanburg Medical Center Spartanburg, SC · Ambulance | $21K |
| 16 | 1780667923 | $21K |
| 17 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $20K |
| 18 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $19K |
| 19 | 1568431088 | $18K |
| 20 | 1649726738 | $18K |
Showing top 20 of 516 providers billing this code