78451
HCPCS Procedure Code
HCPCS code 78451 is the #2,666 most-billed Medicaid procedure code, with $4.3M in payments across 18K claims from 2018–2024. The national median cost per claim is $84.57. Costs vary widely — the 90th percentile is $524.16 per claim, 6.2× the median.
Total Paid
$4.3M
0.00% of all spending
Total Claims
18K
Providers
82
Avg Cost/Claim
$235
National Cost Distribution
How much do providers bill per claim for 78451? Based on 82 providers billing this code nationally.
Median
$84.57
Average
$223.99
Std Dev
$292.53
Max
$1,387.45
Percentile Distribution (Cost per Claim)
50% of providers bill between $32.10 and $318.35 per claim for this code.
90% bill between $20.68 and $524.16.
Top 1% bill above $1,229.75.
About This Procedure
HCPCS code 78451 was billed by 82 providers across 18K claims, totaling $4.3M in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$84.57
Providers Billing
82
National Spending
$4.3M
Avg/Median Ratio
2.65×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 78451
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1376536573 | $723K |
| 2 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $711K |
| 3 | Cardiovascular Institute Of San Diego Inc Chula Vista, CA · Internal Medicine, Advanced Heart Failure and Transplant Cardiology | $409K |
| 4 | 1952476665 | $364K |
| 5 | Brigham & Womens Hospital Inc. Boston, MA · General Acute Care Hospital | $298K |
| 6 | 1134274897 | $276K |
| 7 | Southern California Permanente Medical Group Los Angeles, CA · Health Maintenance Organization | $171K |
| 8 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $146K |
| 9 | 1588748115 | $105K |
| 10 | 1952476525 | $94K |
| 11 | 1821186313 | $87K |
| 12 | Kaiser Foundation Hospitals Anaheim, CA · General Acute Care Hospital | $84K |
| 13 | 1821143777 | $76K |
| 14 | North Shore Medical Center, Inc. Salem, MA · General Acute Care Hospital | $70K |
| 15 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $62K |
| 16 | 1487912416 | $48K |
| 17 | 1558539130 | $40K |
| 18 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $38K |
| 19 | 1487740957 | $32K |
| 20 | Hartford Hospital Hartford, CT · General Acute Care Hospital | $28K |
Showing top 20 of 82 providers billing this code