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#8130 of 11K

51610

HCPCS Procedure Code

HCPCS code 51610 is the #8,130 most-billed Medicaid procedure code, with $6K in payments across 267 claims from 2018–2024. The national median cost per claim is $16.95. Costs vary widely — the 90th percentile is $83.17 per claim, 4.9× the median.

Total Paid

$6K

0.00% of all spending

Total Claims

267

Providers

6

Avg Cost/Claim

$21

National Cost Distribution

How much do providers bill per claim for 51610? Based on 5 providers billing this code nationally.

Median

$16.95

Average

$36.12

Std Dev

$49.69

Max

$123.88

Percentile Distribution (Cost per Claim)

p10
$7.28
p25
$16.60
Median
$16.95
p75
$22.11
p90
$83.17
p95
$103.52
p99
$119.80

50% of providers bill between $16.60 and $22.11 per claim for this code.

90% bill between $7.28 and $83.17.

Top 1% bill above $119.80.

About This Procedure

HCPCS code 51610 was billed by 6 providers across 267 claims, totaling $6K in Medicaid payments from 2018–2024. This code was used for 247 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$16.95

Providers Billing

5

National Spending

$6K

Avg/Median Ratio

2.13×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 51610

#ProviderTotal Paid
11538345251$2K
21528149218$2K
31295023547$1K
41710931985$1K
5Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$26
61053373480$0

Showing top 6 of 6 providers billing this code

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