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#2742 of 11K

36410

HCPCS Procedure Code

HCPCS code 36410 is the #2,742 most-billed Medicaid procedure code, with $3.9M in payments across 596K claims from 2018–2024. The national median cost per claim is $5.72. Costs vary widely — the 90th percentile is $14.58 per claim, 2.5× the median.

Total Paid

$3.9M

0.00% of all spending

Total Claims

596K

Providers

1K

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 36410? Based on 924 providers billing this code nationally.

Median

$5.72

Average

$8.06

Std Dev

$25.61

Max

$746.94

Percentile Distribution (Cost per Claim)

p10
$0.49
p25
$1.75
Median
$5.72
p75
$10.86
p90
$14.58
p95
$18.57
p99
$36.39

50% of providers bill between $1.75 and $10.86 per claim for this code.

90% bill between $0.49 and $14.58.

Top 1% bill above $36.39.

About This Procedure

HCPCS code 36410 was billed by 1K providers across 596K claims, totaling $3.9M in Medicaid payments from 2018–2024. This code was used for 515K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.72

Providers Billing

924

National Spending

$3.9M

Avg/Median Ratio

1.41×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 36410

#ProviderTotal Paid
11144405762$274K
21184048449$147K
31922164565$96K
41235297847$82K
51134291032$77K
61891769303$63K
71033353941$55K
81851357560$52K
91003993221$47K
101922043686$46K
111538103825$45K
121023431871$40K
131124183710$40K
141942473491$40K
151811385081$39K
161942257290$35K
171205897865$33K
181720045917$32K
191952541963$31K
201659301323$30K

Showing top 20 of 1K providers billing this code