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#1019 of 11K

X5622

HCPCS Procedure Code

HCPCS code X5622 is the #1,019 most-billed Medicaid procedure code, with $47.5M in payments across 837K claims from 2018–2024. The national median cost per claim is $52.61. Costs vary widely — the 90th percentile is $244.08 per claim, 4.6× the median.

Total Paid

$47.5M

0.00% of all spending

Total Claims

837K

Providers

326

Avg Cost/Claim

$57

National Cost Distribution

How much do providers bill per claim for X5622? Based on 210 providers billing this code nationally.

Median

$52.61

Average

$92.59

Std Dev

$92.58

Max

$455.00

Percentile Distribution (Cost per Claim)

p10
$8.03
p25
$27.66
Median
$52.61
p75
$139.81
p90
$244.08
p95
$281.23
p99
$349.81

50% of providers bill between $27.66 and $139.81 per claim for this code.

90% bill between $8.03 and $244.08.

Top 1% bill above $349.81.

About This Procedure

HCPCS code X5622 was billed by 326 providers across 837K claims, totaling $47.5M in Medicaid payments from 2018–2024. This code was used for 724K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$52.61

Providers Billing

210

National Spending

$47.5M

Avg/Median Ratio

1.76×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for X5622

#ProviderTotal Paid
11215951751$3.9M
2Park Nicollet Clinic

St Louis Park, MN · Obstetrics & Gynecology

$3.3M
31114019858$2.7M
4Group Health Plan, Inc.

Minneapolis, MN · Clinic/Center, Multi-Specialty

$2.3M
51841280823$2.2M
61225030844$1.8M
7Hennepin Healthcare System Inc

Minneapolis, MN · General Acute Care Hospital

$1.4M
81134305162$1.3M
91538137757$1.2M
101689852071$1.1M
111699955344$1.1M
121629044029$1.0M
131548340813$898K
141013278720$893K
151811999162$800K
161952356297$783K
171811988983$742K
181851300149$731K
191487944898$731K
201891701637$676K

Showing top 20 of 326 providers billing this code

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