58552
HCPCS Procedure Code
HCPCS code 58552 is the #6,338 most-billed Medicaid procedure code, with $73K in payments across 139 claims from 2018–2024. The national median cost per claim is $104.93. Costs vary widely — the 90th percentile is $580.11 per claim, 5.5× the median.
Total Paid
$73K
0.00% of all spending
Total Claims
139
Providers
3
Avg Cost/Claim
$524
National Cost Distribution
How much do providers bill per claim for 58552? Based on 3 providers billing this code nationally.
Median
$104.93
Average
$289.33
Std Dev
$355.28
Max
$698.91
Percentile Distribution (Cost per Claim)
50% of providers bill between $84.55 and $401.92 per claim for this code.
90% bill between $72.32 and $580.11.
Top 1% bill above $687.03.
About This Procedure
HCPCS code 58552 was billed by 3 providers across 139 claims, totaling $73K in Medicaid payments from 2018–2024. This code was used for 117 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$104.93
Providers Billing
3
National Spending
$73K
Avg/Median Ratio
2.76×
Highly skewed — outlier-driven
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.