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#7956 of 11K

C9153

HCPCS Procedure Code

HCPCS code C9153 is the #7,956 most-billed Medicaid procedure code, with $8K in payments across 156 claims from 2018–2024. The national median cost per claim is $5.25. Costs vary widely — the 90th percentile is $93.58 per claim, 17.8× the median.

Total Paid

$8K

0.00% of all spending

Total Claims

156

Providers

4

Avg Cost/Claim

$51

National Cost Distribution

How much do providers bill per claim for C9153? Based on 3 providers billing this code nationally.

Median

$5.25

Average

$40.44

Std Dev

$65.18

Max

$115.66

Percentile Distribution (Cost per Claim)

p10
$1.39
p25
$2.83
Median
$5.25
p75
$60.45
p90
$93.58
p95
$104.62
p99
$113.45

50% of providers bill between $2.83 and $60.45 per claim for this code.

90% bill between $1.39 and $93.58.

Top 1% bill above $113.45.

About This Procedure

HCPCS code C9153 was billed by 4 providers across 156 claims, totaling $8K in Medicaid payments from 2018–2024. This code was used for 138 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.25

Providers Billing

3

National Spending

$8K

Avg/Median Ratio

7.70×

Highly skewed — outlier-driven

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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