00851
HCPCS Procedure Code
HCPCS code 00851 is the #4,899 most-billed Medicaid procedure code, with $359K in payments across 5K claims from 2018–2024. The national median cost per claim is $60.60. Costs vary widely — the 90th percentile is $204.10 per claim, 3.4× the median.
Total Paid
$359K
0.00% of all spending
Total Claims
5K
Providers
46
Avg Cost/Claim
$79
National Cost Distribution
How much do providers bill per claim for 00851? Based on 37 providers billing this code nationally.
Median
$60.60
Average
$95.50
Std Dev
$89.70
Max
$435.48
Percentile Distribution (Cost per Claim)
50% of providers bill between $52.50 and $122.93 per claim for this code.
90% bill between $31.78 and $204.10.
Top 1% bill above $382.75.
About This Procedure
HCPCS code 00851 was billed by 46 providers across 5K claims, totaling $359K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$60.60
Providers Billing
37
National Spending
$359K
Avg/Median Ratio
1.58×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 00851
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1508138256 | $95K |
| 2 | 1053354233 | $76K |
| 3 | 1225016926 | $39K |
| 4 | 1922031442 | $25K |
| 5 | 1871986372 | $20K |
| 6 | 1669581997 | $13K |
| 7 | 1487609475 | $10K |
| 8 | 1942270566 | $8K |
| 9 | 1497797153 | $8K |
| 10 | 1821448150 | $8K |
| 11 | 1811997869 | $6K |
| 12 | 1225151897 | $6K |
| 13 | 1508039116 | $5K |
| 14 | 1205083615 | $5K |
| 15 | 1356968952 | $4K |
| 16 | 1477068971 | $3K |
| 17 | 1003187113 | $3K |
| 18 | 1942519657 | $3K |
| 19 | 1417994872 | $2K |
| 20 | 1558397653 | $2K |
Showing top 20 of 46 providers billing this code