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#6209 of 11K

57456

HCPCS Procedure Code

HCPCS code 57456 is the #6,209 most-billed Medicaid procedure code, with $84K in payments across 831 claims from 2018–2024. The national median cost per claim is $133.07. Costs vary widely — the 90th percentile is $383.63 per claim, 2.9× the median.

Total Paid

$84K

0.00% of all spending

Total Claims

831

Providers

22

Avg Cost/Claim

$100

National Cost Distribution

How much do providers bill per claim for 57456? Based on 22 providers billing this code nationally.

Median

$133.07

Average

$173.74

Std Dev

$125.59

Max

$402.80

Percentile Distribution (Cost per Claim)

p10
$60.39
p25
$80.27
Median
$133.07
p75
$258.45
p90
$383.63
p95
$396.02
p99
$401.44

50% of providers bill between $80.27 and $258.45 per claim for this code.

90% bill between $60.39 and $383.63.

Top 1% bill above $401.44.

About This Procedure

HCPCS code 57456 was billed by 22 providers across 831 claims, totaling $84K in Medicaid payments from 2018–2024. This code was used for 592 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$133.07

Providers Billing

22

National Spending

$84K

Avg/Median Ratio

1.31×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 57456

#ProviderTotal Paid
1The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$13K
21992975775$9K
3Bronxcare Health System

Bronx, NY · General Acute Care Hospital

$8K
4Optum Medical Care Of New Jersey Pc

Secaucus, NJ · Durable Medical Equipment & Medical Supplies

$6K
5The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$5K
6Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$5K
7Brigham & Womens Hospital Inc.

Boston, MA · General Acute Care Hospital

$4K
8Cambridge Public Health Commission

Cambridge, MA · General Acute Care Hospital

$4K
91306281126$4K
101801136734$4K
11Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$3K
121801837810$3K
13University Of Washington

Seattle, WA · Clinic/Center, Dental

$3K
141750766762$3K
15Montefiore Medical Center

Bronx, NY · Anesthesiology

$2K
16Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$2K
171669429577$1K
181790856235$1K
191326129339$986
201447299797$855

Showing top 20 of 22 providers billing this code