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#7041 of 11K

5010F

HCPCS Procedure Code

HCPCS code 5010F is the #7,041 most-billed Medicaid procedure code, with $31K in payments across 90K claims from 2018–2024. The national median cost per claim is $0.02. Costs vary widely — the 90th percentile is $3.91 per claim, 195.5× the median.

Total Paid

$31K

0.00% of all spending

Total Claims

90K

Providers

213

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 5010F? Based on 22 providers billing this code nationally.

Median

$0.02

Average

$4.55

Std Dev

$16.70

Max

$78.54

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.02
p75
$1.03
p90
$3.91
p95
$10.50
p99
$64.32

50% of providers bill between $0.00 and $1.03 per claim for this code.

90% bill between $0.00 and $3.91.

Top 1% bill above $64.32.

About This Procedure

HCPCS code 5010F was billed by 213 providers across 90K claims, totaling $31K in Medicaid payments from 2018–2024. This code was used for 75K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.02

Providers Billing

22

National Spending

$31K

Avg/Median Ratio

227.50×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 5010F

#ProviderTotal Paid
11114105384$16K
21902004427$8K
31619118825$5K
41821597147$608
51144235516$519
61306808167$450
71588109821$154
81861442022$92
91033231360$75
101922051168$37
111295919207$25
121154315992$18
131487182580$5
141942644661$5
151649563636$4
161285644500$0
171770685752$0
181881690634$0
191306812979$0
201629235510$0

Showing top 20 of 213 providers billing this code

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