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#5562 of 11K

OP252

HCPCS Procedure Code

HCPCS code OP252 is the #5,562 most-billed Medicaid procedure code, with $176K in payments across 60K claims from 2018–2024. The national median cost per claim is $2.20.

Total Paid

$176K

0.00% of all spending

Total Claims

60K

Providers

3

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for OP252? Based on 3 providers billing this code nationally.

Median

$2.20

Average

$2.42

Std Dev

$1.99

Max

$4.51

Percentile Distribution (Cost per Claim)

p10
$0.89
p25
$1.38
Median
$2.20
p75
$3.35
p90
$4.05
p95
$4.28
p99
$4.47

50% of providers bill between $1.38 and $3.35 per claim for this code.

90% bill between $0.89 and $4.05.

Top 1% bill above $4.47.

About This Procedure

HCPCS code OP252 was billed by 3 providers across 60K claims, totaling $176K in Medicaid payments from 2018–2024. This code was used for 42K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.20

Providers Billing

3

National Spending

$176K

Avg/Median Ratio

1.10×

Normal distribution

Provider Coverage

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