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#6033 of 11K

4010F

HCPCS Procedure Code

HCPCS code 4010F is the #6,033 most-billed Medicaid procedure code, with $103K in payments across 1.2M claims from 2018–2024. The national median cost per claim is $0.01. Costs vary widely — the 90th percentile is $2.16 per claim, 216.0× the median.

Total Paid

$103K

0.00% of all spending

Total Claims

1.2M

Providers

1,502

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 4010F? Based on 217 providers billing this code nationally.

Median

$0.01

Average

$1.10

Std Dev

$4.47

Max

$52.06

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.01
p75
$0.29
p90
$2.16
p95
$3.31
p99
$19.18

50% of providers bill between $0.00 and $0.29 per claim for this code.

90% bill between $0.00 and $2.16.

Top 1% bill above $19.18.

About This Procedure

HCPCS code 4010F was billed by 1,502 providers across 1.2M claims, totaling $103K in Medicaid payments from 2018–2024. This code was used for 1.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.01

Providers Billing

217

National Spending

$103K

Avg/Median Ratio

110.00×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 4010F

#ProviderTotal Paid
11174808216$23K
21588756001$10K
3Marillac Clinic Inc.

Grand Junction, CO · Clinic/Center Federally Qualified Health Center (FQHC)

$8K
41861674160$7K
51326237132$5K
61780986257$5K
71538441761$4K
81184944662$4K
91568726883$3K
101770697278$3K
111760413595$3K
121831283381$2K
131306944350$2K
141245356369$2K
151215395843$2K
161629493135$2K
171376575035$2K
181346632650$2K
191104275882$1K
201689901688$1K

Showing top 20 of 1,502 providers billing this code