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#6908 of 11K

C1755

HCPCS Procedure Code

HCPCS code C1755 is the #6,908 most-billed Medicaid procedure code, with $37K in payments across 9K claims from 2018–2024. The national median cost per claim is $1.51. Costs vary widely — the 90th percentile is $10.74 per claim, 7.1× the median.

Total Paid

$37K

0.00% of all spending

Total Claims

9K

Providers

24

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for C1755? Based on 13 providers billing this code nationally.

Median

$1.51

Average

$3.92

Std Dev

$4.71

Max

$14.61

Percentile Distribution (Cost per Claim)

p10
$0.23
p25
$1.08
Median
$1.51
p75
$4.99
p90
$10.74
p95
$12.56
p99
$14.20

50% of providers bill between $1.08 and $4.99 per claim for this code.

90% bill between $0.23 and $10.74.

Top 1% bill above $14.20.

About This Procedure

HCPCS code C1755 was billed by 24 providers across 9K claims, totaling $37K in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.51

Providers Billing

13

National Spending

$37K

Avg/Median Ratio

2.60×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for C1755

#ProviderTotal Paid
11558759498$32K
21184606600$3K
31215981303$1K
41598766495$267
51265539498$257
6St Lukes Roosevelt Hospital Center

New York, NY · Case Management

$151
71538244918$134
8Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$84
91699704254$77
101376175240$70
11Sage River Counseling

Seattle, WA · Counselor Mental Health

$16
12Southcoast Hospitals Group, Inc

New Bedford, MA · General Acute Care Hospital

$9
131083780894$7
141639186760$0
151063443455$0
161124092036$0
171770690695$0
181942749387$0
191225195340$0
201780694372$0

Showing top 20 of 24 providers billing this code