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#4703 of 11K

T5001

HCPCS Procedure Code

HCPCS code T5001 is the #4,703 most-billed Medicaid procedure code, with $442K in payments across 419 claims from 2018–2024. The national median cost per claim is $1,020.98.

Total Paid

$442K

0.00% of all spending

Total Claims

419

Providers

6

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for T5001? Based on 6 providers billing this code nationally.

Median

$1,020.98

Average

$1,039.60

Std Dev

$225.42

Max

$1,315.11

Percentile Distribution (Cost per Claim)

p10
$821.09
p25
$855.63
Median
$1,020.98
p75
$1,219.80
p90
$1,276.73
p95
$1,295.92
p99
$1,311.27

50% of providers bill between $855.63 and $1,219.80 per claim for this code.

90% bill between $821.09 and $1,276.73.

Top 1% bill above $1,311.27.

About This Procedure

HCPCS code T5001 was billed by 6 providers across 419 claims, totaling $442K in Medicaid payments from 2018–2024. This code was used for 366 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,020.98

Providers Billing

6

National Spending

$442K

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for T5001

#ProviderTotal Paid
11487624193$264K
21326431404$62K
31902829500$37K
41497703516$33K
51366704579$30K
61972573137$15K

Showing top 6 of 6 providers billing this code