10005
HCPCS Procedure Code
HCPCS code 10005 is the #2,024 most-billed Medicaid procedure code, with $9.9M in payments across 74K claims from 2018–2024. The national median cost per claim is $97.92. Costs vary widely — the 90th percentile is $416.24 per claim, 4.3× the median.
Total Paid
$9.9M
0.00% of all spending
Total Claims
74K
Providers
210
Avg Cost/Claim
$133
National Cost Distribution
How much do providers bill per claim for 10005? Based on 205 providers billing this code nationally.
Median
$97.92
Average
$170.30
Std Dev
$164.37
Max
$924.60
Percentile Distribution (Cost per Claim)
50% of providers bill between $54.91 and $263.08 per claim for this code.
90% bill between $31.77 and $416.24.
Top 1% bill above $653.18.
About This Procedure
HCPCS code 10005 was billed by 210 providers across 74K claims, totaling $9.9M in Medicaid payments from 2018–2024. This code was used for 66K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$97.92
Providers Billing
205
National Spending
$9.9M
Avg/Median Ratio
1.74×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 10005
| # | Provider | Total Paid |
|---|---|---|
| 1 | Englewood Hospital And Medical Center Englewood, NJ · General Acute Care Hospital | $747K |
| 2 | 1740460583 | $665K |
| 3 | 1104810308 | $404K |
| 4 | 1841496122 | $312K |
| 5 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $301K |
| 6 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $286K |
| 7 | Beth Israel Medical Center Brooklyn, NY · Psychiatric Unit | $284K |
| 8 | 1336461128 | $282K |
| 9 | 1366459570 | $232K |
| 10 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $230K |
| 11 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $227K |
| 12 | 1740345669 | $221K |
| 13 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $213K |
| 14 | Temple University Hospital Inc Philadelphia, PA · General Acute Care Hospital | $201K |
| 15 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $199K |
| 16 | 1396747861 | $197K |
| 17 | 1437230034 | $190K |
| 18 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $186K |
| 19 | Brigham & Womens Hospital Inc. Boston, MA · General Acute Care Hospital | $180K |
| 20 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $164K |
Showing top 20 of 210 providers billing this code