0552
HCPCS Procedure Code
HCPCS code 0552 is the #6,160 most-billed Medicaid procedure code, with $89K in payments across 3K claims from 2018–2024. The national median cost per claim is $65.96. Costs vary widely — the 90th percentile is $170.13 per claim, 2.6× the median.
Total Paid
$89K
0.00% of all spending
Total Claims
3K
Providers
8
Avg Cost/Claim
$26
National Cost Distribution
How much do providers bill per claim for 0552? Based on 7 providers billing this code nationally.
Median
$65.96
Average
$76.43
Std Dev
$76.95
Max
$206.31
Percentile Distribution (Cost per Claim)
50% of providers bill between $11.34 and $117.43 per claim for this code.
90% bill between $7.86 and $170.13.
Top 1% bill above $202.69.
About This Procedure
HCPCS code 0552 was billed by 8 providers across 3K claims, totaling $89K in Medicaid payments from 2018–2024. This code was used for 709 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$65.96
Providers Billing
7
National Spending
$89K
Avg/Median Ratio
1.16×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0552
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1871589911 | $19K |
| 2 | 1659415222 | $18K |
| 3 | 1174571913 | $15K |
| 4 | 1194869750 | $13K |
| 5 | 1124368808 | $12K |
| 6 | 1639213747 | $6K |
| 7 | 1275677387 | $6K |
| 8 | 1992709950 | $0 |
Showing top 8 of 8 providers billing this code