10021
HCPCS Procedure Code
HCPCS code 10021 is the #6,545 most-billed Medicaid procedure code, with $57K in payments across 1,100 claims from 2018–2024. The national median cost per claim is $35.05. Costs vary widely — the 90th percentile is $179.58 per claim, 5.1× the median.
Total Paid
$57K
0.00% of all spending
Total Claims
1,100
Providers
9
Avg Cost/Claim
$52
National Cost Distribution
How much do providers bill per claim for 10021? Based on 9 providers billing this code nationally.
Median
$35.05
Average
$82.30
Std Dev
$144.92
Max
$458.98
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.25 and $51.05 per claim for this code.
90% bill between $6.94 and $179.58.
Top 1% bill above $431.04.
About This Procedure
HCPCS code 10021 was billed by 9 providers across 1,100 claims, totaling $57K in Medicaid payments from 2018–2024. This code was used for 1,025 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$35.05
Providers Billing
9
National Spending
$57K
Avg/Median Ratio
2.35×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 10021
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1093758773 | $22K |
| 2 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $13K |
| 3 | Englewood Hospital And Medical Center Englewood, NJ · General Acute Care Hospital | $12K |
| 4 | 1891894986 | $5K |
| 5 | 1619082625 | $2K |
| 6 | 1710240841 | $1K |
| 7 | 1306811930 | $955 |
| 8 | 1225003346 | $314 |
| 9 | 1699986331 | $96 |
Showing top 9 of 9 providers billing this code