#5524 of 11K

57410

HCPCS Procedure Code

HCPCS code 57410 is the #5,524 most-billed Medicaid procedure code, with $182K in payments across 6,469 claims from 2018–2024. The national median cost per claim is $16.10. Costs vary widely — the 90th percentile is $67.19 per claim, 4.2× the median.

Total Paid

$182K

0.00% of all spending

Total Claims

6,469

Providers

Avg Cost/Claim

$28

National Cost Distribution

How much do providers bill per claim for 57410? Based on 33 providers billing this code nationally.

Median

$16.10

Average

$33.45

Std Dev

$44.40

Max

$232.45

Percentile Distribution (Cost per Claim)

p10

$2.15

p25

$5.77

Median

$16.10

p75

$53.72

p90

$67.19

p95

$81.56

p99

$187.20

50% of providers bill between $5.77 and $53.72 per claim for this code.

90% bill between $2.15 and $67.19.

Top 1% bill above $187.20.

About This Procedure

HCPCS code 57410 was billed by 42 providers across 6,469 claims, totaling $182K in Medicaid payments from 2018–2024. This code was used for 6,344 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$16.10

Providers Billing

National Spending

$182K

Avg/Median Ratio

2.08×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 57410

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1609074806	$103K	$62.11	3.9× median	Above 75th
2	1801907449	$16K	$22.69	1.4× median	Above Median
3	1295270254	$15K	$67.90	4.2× median	Top 10%
4	1932365962	$12K	$22.81	1.4× median	Above Median
5	1225409675	$7K	$30.06	1.9× median	Above Median
6	Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children	$3K	$232.45	14.4× median	Top 1%
7	1144693607	$3K	$48.60	3.0× median	Above Median
8	1851668800	$3K	$13.92	0.9× median	Below Median
9	1497397152	$3K	$62.34	3.9× median	Above 75th
10	1497350854	$2K	$53.72	3.3× median	Above Median
11	1134282858	$2K	$16.10	1.0× median	Above Median
12	1023287679	$1K	$4.69	0.3× median	Below Median
13	1326129339	$1K	$91.02	5.7× median	Top 10%
14	1134144165	$1K	$10.52	0.7× median	Below Median
15	1215358924	$1K	$75.26	4.7× median	Top 10%
16	1770521270	$966	$64.38	4.0× median	Above 75th
17	1598906166	$933	$58.32	3.6× median	Above 75th
18	1437796216	$745	$12.62	0.8× median	Below Median
19	1992304604	$691	$46.10	2.9× median	Above Median
20	1205859733	$540	$36.00	2.2× median	Above Median

Showing top 20 of 42 providers billing this code

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