#2958 of 11K

01810

HCPCS Procedure Code

HCPCS code 01810 is the #2,958 most-billed Medicaid procedure code, with $2.9M in payments across 61K claims from 2018–2024. The national median cost per claim is $54.69. Costs vary widely — the 90th percentile is $141.92 per claim, 2.6× the median.

Total Paid

$2.9M

0.00% of all spending

Total Claims

61K

Providers

226

Avg Cost/Claim

$48

National Cost Distribution

How much do providers bill per claim for 01810? Based on 195 providers billing this code nationally.

Median

$54.69

Average

$67.81

Std Dev

$48.09

Max

$246.36

Percentile Distribution (Cost per Claim)

p10

$18.15

p25

$33.36

Median

$54.69

p75

$89.38

p90

$141.92

p95

$161.40

p99

$225.17

50% of providers bill between $33.36 and $89.38 per claim for this code.

90% bill between $18.15 and $141.92.

Top 1% bill above $225.17.

About This Procedure

HCPCS code 01810 was billed by 226 providers across 61K claims, totaling $2.9M in Medicaid payments from 2018–2024. This code was used for 47K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$54.69

Providers Billing

195

National Spending

$2.9M

Avg/Median Ratio

1.24×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 01810

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1053354233	$179K	$246.36	4.5× median	Top 1%
2	1407821796	$154K	$34.43	0.6× median	Below Median
3	1497797153	$154K	$38.02	0.7× median	Below Median
4	1558314427	$146K	$87.55	1.6× median	Above Median
5	1225016926	$143K	$45.49	0.8× median	Below Median
6	1053837013	$127K	$95.42	1.7× median	Above 75th
7	1871986372	$118K	$46.94	0.9× median	Below Median
8	1417994872	$85K	$54.69	1.0× median	Below Median
9	1023139656	$76K	$223.82	4.1× median	Top 10%
10	1891912432	$74K	$49.25	0.9× median	Below Median
11	1972126209	$73K	$39.45	0.7× median	Below Median
12	1558391763	$67K	$183.40	3.4× median	Top 10%
13	1790785095	$57K	$37.14	0.7× median	Below Median
14	1669581997	$53K	$38.65	0.7× median	Below Median
15	1114378981	$49K	$32.17	0.6× median	Below Median
16	1487609475	$45K	$33.87	0.6× median	Below Median
17	1922031442	$43K	$45.34	0.8× median	Below Median
18	1760445373	$43K	$45.89	0.8× median	Below Median
19	1245708403	$42K	$30.53	0.6× median	Below Median
20	1639110406	$41K	$41.04	0.8× median	Below Median

Showing top 20 of 226 providers billing this code

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