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)
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.