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#7670 of 11K

21310

HCPCS Procedure Code

HCPCS code 21310 is the #7,670 most-billed Medicaid procedure code, with $12K in payments across 291 claims from 2018–2024. The national median cost per claim is $29.14. Costs vary widely — the 90th percentile is $104.38 per claim, 3.6× the median.

Total Paid

$12K

0.00% of all spending

Total Claims

291

Providers

4

Avg Cost/Claim

$42

National Cost Distribution

How much do providers bill per claim for 21310? Based on 4 providers billing this code nationally.

Median

$29.14

Average

$50.69

Std Dev

$54.95

Max

$130.54

Percentile Distribution (Cost per Claim)

p10
$14.24
p25
$14.68
Median
$29.14
p75
$65.15
p90
$104.38
p95
$117.46
p99
$127.92

50% of providers bill between $14.68 and $65.15 per claim for this code.

90% bill between $14.24 and $104.38.

Top 1% bill above $127.92.

About This Procedure

HCPCS code 21310 was billed by 4 providers across 291 claims, totaling $12K in Medicaid payments from 2018–2024. This code was used for 283 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$29.14

Providers Billing

4

National Spending

$12K

Avg/Median Ratio

1.74×

Moderately skewed

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.