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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $871K |
| 2 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $823K |
| 3 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $781K |
| 4 | Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology | $571K |
| 5 | 1740283324 | $515K |
| 6 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $499K |
| 7 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $497K |
| 8 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $450K |
| 9 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $422K |
| 10 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $406K |
| 11 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $323K |
| 12 | Dignity Health Phoenix, AZ · Rehabilitation Unit | $290K |
| 13 | 1871528026 | $259K |
| 14 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $244K |
| 15 | Carilion Medical Center Roanoke, VA · General Acute Care Hospital | $233K |
| 16 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $230K |
| 17 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $230K |
| 18 | Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital | $197K |
| 19 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $194K |
| 20 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $191K |
Showing top 20 of 375 providers billing this code