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#6514 of 11K

01610

HCPCS Procedure Code

HCPCS code 01610 is the #6,514 most-billed Medicaid procedure code, with $59K in payments across 704 claims from 2018–2024. The national median cost per claim is $82.89.

Total Paid

$59K

0.00% of all spending

Total Claims

704

Providers

10

Avg Cost/Claim

$84

National Cost Distribution

How much do providers bill per claim for 01610? Based on 10 providers billing this code nationally.

Median

$82.89

Average

$95.67

Std Dev

$66.20

Max

$253.61

Percentile Distribution (Cost per Claim)

p10
$26.22
p25
$69.36
Median
$82.89
p75
$95.76
p90
$162.08
p95
$207.84
p99
$244.45

50% of providers bill between $69.36 and $95.76 per claim for this code.

90% bill between $26.22 and $162.08.

Top 1% bill above $244.45.

About This Procedure

HCPCS code 01610 was billed by 10 providers across 704 claims, totaling $59K in Medicaid payments from 2018–2024. This code was used for 425 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$82.89

Providers Billing

10

National Spending

$59K

Avg/Median Ratio

1.15×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 01610

#ProviderTotal Paid
11972126209$28K
21053366377$8K
31225016926$5K
41871986372$5K
51497797153$4K
61053354233$4K
71487609475$3K
81417994872$2K
91477766574$394
101750594941$391

Showing top 10 of 10 providers billing this code

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