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#6040 of 11K

60100

HCPCS Procedure Code

HCPCS code 60100 is the #6,040 most-billed Medicaid procedure code, with $102K in payments across 1,048 claims from 2018–2024. The national median cost per claim is $68.64. Costs vary widely — the 90th percentile is $526.92 per claim, 7.7× the median.

Total Paid

$102K

0.00% of all spending

Total Claims

1,048

Providers

9

Avg Cost/Claim

$98

National Cost Distribution

How much do providers bill per claim for 60100? Based on 9 providers billing this code nationally.

Median

$68.64

Average

$191.18

Std Dev

$267.31

Max

$810.03

Percentile Distribution (Cost per Claim)

p10
$36.21
p25
$45.97
Median
$68.64
p75
$125.78
p90
$526.92
p95
$668.47
p99
$781.72

50% of providers bill between $45.97 and $125.78 per claim for this code.

90% bill between $36.21 and $526.92.

Top 1% bill above $781.72.

About This Procedure

HCPCS code 60100 was billed by 9 providers across 1,048 claims, totaling $102K in Medicaid payments from 2018–2024. This code was used for 908 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$68.64

Providers Billing

9

National Spending

$102K

Avg/Median Ratio

2.79×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 60100

#ProviderTotal Paid
11689979569$49K
2Medstar Washington Hospital Center

Washington, DC · General Acute Care Hospital

$35K
31760478549$7K
4Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$5K
51205867835$2K
6Optum Medical Care Of New Jersey Pc

Secaucus, NJ · Durable Medical Equipment & Medical Supplies

$2K
71164460077$782
81972004489$766
91376685446$472

Showing top 9 of 9 providers billing this code