21235
HCPCS Procedure Code
HCPCS code 21235 is the #5,044 most-billed Medicaid procedure code, with $308K in payments across 285 claims from 2018–2024. The national median cost per claim is $1,522.91.
Total Paid
$308K
0.00% of all spending
Total Claims
285
Providers
4
Avg Cost/Claim
$1K
National Cost Distribution
How much do providers bill per claim for 21235? Based on 4 providers billing this code nationally.
Median
$1,522.91
Average
$1,575.11
Std Dev
$905.22
Max
$2,541.10
Percentile Distribution (Cost per Claim)
50% of providers bill between $852.98 and $2,245.05 per claim for this code.
90% bill between $769.31 and $2,422.68.
Top 1% bill above $2,529.26.
About This Procedure
HCPCS code 21235 was billed by 4 providers across 285 claims, totaling $308K in Medicaid payments from 2018–2024. This code was used for 280 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1,522.91
Providers Billing
4
National Spending
$308K
Avg/Median Ratio
1.03×
Normal distribution
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.