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#8503 of 11K

P9615

HCPCS Procedure Code

HCPCS code P9615 is the #8,503 most-billed Medicaid procedure code, with $3K in payments across 3,165 claims from 2018–2024. The national median cost per claim is $1.64. Costs vary widely — the 90th percentile is $4.99 per claim, 3.0× the median.

Total Paid

$3K

0.00% of all spending

Total Claims

3,165

Providers

10

Avg Cost/Claim

$1

National Cost Distribution

How much do providers bill per claim for P9615? Based on 7 providers billing this code nationally.

Median

$1.64

Average

$2.32

Std Dev

$2.06

Max

$5.72

Percentile Distribution (Cost per Claim)

p10
$0.46
p25
$0.77
Median
$1.64
p75
$3.47
p90
$4.99
p95
$5.36
p99
$5.65

50% of providers bill between $0.77 and $3.47 per claim for this code.

90% bill between $0.46 and $4.99.

Top 1% bill above $5.65.

About This Procedure

HCPCS code P9615 was billed by 10 providers across 3,165 claims, totaling $3K in Medicaid payments from 2018–2024. This code was used for 2,154 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.64

Providers Billing

7

National Spending

$3K

Avg/Median Ratio

1.41×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for P9615

#ProviderTotal Paid
11598107526$2K
21730365032$481
31770053548$160
41598200602$118
51740517911$92
61689971822$69
71235314790$51
81083232789$0
91932553401$0
101689665580$0

Showing top 10 of 10 providers billing this code

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