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#5451 of 11K

21030

HCPCS Procedure Code

HCPCS code 21030 is the #5,451 most-billed Medicaid procedure code, with $196K in payments across 1,687 claims from 2018–2024. The national median cost per claim is $120.82.

Total Paid

$196K

0.00% of all spending

Total Claims

1,687

Providers

2

Avg Cost/Claim

$116

National Cost Distribution

How much do providers bill per claim for 21030? Based on 2 providers billing this code nationally.

Median

$120.82

Average

$120.82

Std Dev

$123.12

Max

$207.88

Percentile Distribution (Cost per Claim)

p10
$51.17
p25
$77.29
Median
$120.82
p75
$164.35
p90
$190.47
p95
$199.18
p99
$206.14

50% of providers bill between $77.29 and $164.35 per claim for this code.

90% bill between $51.17 and $190.47.

Top 1% bill above $206.14.

About This Procedure

HCPCS code 21030 was billed by 2 providers across 1,687 claims, totaling $196K in Medicaid payments from 2018–2024. This code was used for 1,077 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$120.82

Providers Billing

2

National Spending

$196K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.