0151A
HCPCS Procedure Code
HCPCS code 0151A is the #6,501 most-billed Medicaid procedure code, with $60K in payments across 1K claims from 2018–2024. The national median cost per claim is $36.80.
Total Paid
$60K
0.00% of all spending
Total Claims
1K
Providers
31
Avg Cost/Claim
$48
National Cost Distribution
How much do providers bill per claim for 0151A? Based on 27 providers billing this code nationally.
Median
$36.80
Average
$57.40
Std Dev
$119.85
Max
$654.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $30.04 and $41.64 per claim for this code.
90% bill between $17.15 and $43.62.
Top 1% bill above $501.38.
About This Procedure
HCPCS code 0151A was billed by 31 providers across 1K claims, totaling $60K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$36.80
Providers Billing
27
National Spending
$60K
Avg/Median Ratio
1.56×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 0151A
| # | Provider | Total Paid |
|---|---|---|
| 1 | Zuni Indian Hospital Zuni, NM · General Acute Care Hospital | $20K |
| 2 | The Arizona Partnership For Immunization Phoenix, AZ · Local Education Agency (LEA) | $7K |
| 3 | Richard Bone Chicago, IL · Internal Medicine, Gastroenterology | $5K |
| 4 | 1326695255 | $5K |
| 5 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $3K |
| 6 | 1285853135 | $3K |
| 7 | Presbyterian Healthcare Services Albuquerque, NM · Surgery | $2K |
| 8 | Aurora Medical Group, Inc. Milwaukee, WI · Internal Medicine | $2K |
| 9 | 1194855155 | $1K |
| 10 | 1508047275 | $1K |
| 11 | 1225179641 | $1K |
| 12 | Hennepin Healthcare System Inc Minneapolis, MN · General Acute Care Hospital | $923 |
| 13 | 1992990410 | $880 |
| 14 | 1134250970 | $736 |
| 15 | 1740321173 | $642 |
| 16 | Erie Family Health Center, Inc Chicago, IL · Clinic/Center, Federally Qualified Health Center (FQHC) | $610 |
| 17 | 1437322195 | $610 |
| 18 | 1093090342 | $553 |
| 19 | 1427373372 | $545 |
| 20 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $538 |
Showing top 20 of 31 providers billing this code