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#3369 of 11K

X5621

HCPCS Procedure Code

HCPCS code X5621 is the #3,369 most-billed Medicaid procedure code, with $1.8M in payments across 17K claims from 2018–2024. The national median cost per claim is $148.81.

Total Paid

$1.8M

0.00% of all spending

Total Claims

17K

Providers

31

Avg Cost/Claim

$106

National Cost Distribution

How much do providers bill per claim for X5621? Based on 16 providers billing this code nationally.

Median

$148.81

Average

$139.49

Std Dev

$38.27

Max

$175.62

Percentile Distribution (Cost per Claim)

p10
$93.16
p25
$123.19
Median
$148.81
p75
$167.88
p90
$174.70
p95
$174.93
p99
$175.48

50% of providers bill between $123.19 and $167.88 per claim for this code.

90% bill between $93.16 and $174.70.

Top 1% bill above $175.48.

About This Procedure

HCPCS code X5621 was billed by 31 providers across 17K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 16K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$148.81

Providers Billing

16

National Spending

$1.8M

Avg/Median Ratio

0.94×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for X5621

#ProviderTotal Paid
11427127620$376K
2County Of Anoka

Anoka, MN · Case Management

$350K
31811055957$332K
41700969334$219K
51447381660$92K
61124197249$92K
71003921875$62K
81659408904$61K
91255406286$51K
101174697148$51K
111083845127$44K
121760489769$33K
131396819108$25K
141336372465$22K
151437228236$17K
161962567529$13K
17A000025600$0
18A000079500$0
19A000070100$0
20A000056600$0

Showing top 20 of 31 providers billing this code

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