OP251
HCPCS Procedure Code
HCPCS code OP251 is the #3,438 most-billed Medicaid procedure code, with $1.7M in payments across 199K claims from 2018–2024. The national median cost per claim is $7.16.
Total Paid
$1.7M
0.00% of all spending
Total Claims
199K
Providers
14
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for OP251? Based on 14 providers billing this code nationally.
Median
$7.16
Average
$7.85
Std Dev
$4.39
Max
$14.75
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.26 and $10.92 per claim for this code.
90% bill between $2.19 and $13.55.
Top 1% bill above $14.66.
About This Procedure
HCPCS code OP251 was billed by 14 providers across 199K claims, totaling $1.7M in Medicaid payments from 2018–2024. This code was used for 146K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.16
Providers Billing
14
National Spending
$1.7M
Avg/Median Ratio
1.10×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for OP251
| # | Provider | Total Paid |
|---|---|---|
| 1 | Trinitas Regional Medical Center Elizabeth, NJ · General Acute Care Hospital | $1.2M |
| 2 | 1043475668 | $109K |
| 3 | 1871859306 | $92K |
| 4 | 1053382697 | $62K |
| 5 | 1821101239 | $62K |
| 6 | Ahs Hospital Corp. Morristown, NJ · General Acute Care Hospital | $52K |
| 7 | 1790789212 | $37K |
| 8 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $30K |
| 9 | Ahs Hospital Corp. Summit, NJ · General Acute Care Hospital | $19K |
| 10 | 1669472882 | $3K |
| 11 | 1982720249 | $3K |
| 12 | 1285634394 | $847 |
| 13 | 1952301178 | $704 |
| 14 | Orlando Health Inc. Orlando, FL · General Acute Care Hospital | $236 |
Showing top 14 of 14 providers billing this code