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#1704 of 11K

72158

HCPCS Procedure Code

HCPCS code 72158 is the #1,704 most-billed Medicaid procedure code, with $15.8M in payments across 101K claims from 2018–2024. The national median cost per claim is $109.03. Costs vary widely — the 90th percentile is $352.07 per claim, 3.2× the median.

Total Paid

$15.8M

0.00% of all spending

Total Claims

101K

Providers

375

Avg Cost/Claim

$156

National Cost Distribution

How much do providers bill per claim for 72158? Based on 371 providers billing this code nationally.

Median

$109.03

Average

$173.57

Std Dev

$207.36

Max

$1,958.46

Percentile Distribution (Cost per Claim)

p10
$51.55
p25
$65.28
Median
$109.03
p75
$204.74
p90
$352.07
p95
$472.76
p99
$995.20

50% of providers bill between $65.28 and $204.74 per claim for this code.

90% bill between $51.55 and $352.07.

Top 1% bill above $995.20.

About This Procedure

HCPCS code 72158 was billed by 375 providers across 101K claims, totaling $15.8M in Medicaid payments from 2018–2024. This code was used for 95K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$109.03

Providers Billing

371

National Spending

$15.8M

Avg/Median Ratio

1.59×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 72158

#ProviderTotal Paid
1University Of Kentucky

Lexington, KY · General Acute Care Hospital

$871K
2Stanford Health Care

Stanford, CA · General Acute Care Hospital

$823K
3Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$781K
4Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$571K
51740283324$515K
6Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$499K
7State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$497K
8Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$450K
9Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$422K
10Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$406K
11Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$323K
12Dignity Health

Phoenix, AZ · Rehabilitation Unit

$290K
131871528026$259K
14Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$244K
15Carilion Medical Center

Roanoke, VA · General Acute Care Hospital

$233K
16Seventh-day Adventists Loma Linda University Medical Center

Loma Linda, CA · General Acute Care Hospital

$230K
17Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$230K
18Spectrum Health Hospitals

Grand Rapids, MI · General Acute Care Hospital

$197K
19Regents Of The University Of Michigan

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

$194K
20Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$191K

Showing top 20 of 375 providers billing this code