65210
HCPCS Procedure Code
HCPCS code 65210 is the #4,620 most-billed Medicaid procedure code, with $485K in payments across 20K claims from 2018–2024. The national median cost per claim is $18.58. Costs vary widely — the 90th percentile is $41.42 per claim, 2.2× the median.
Total Paid
$485K
0.00% of all spending
Total Claims
20K
Providers
24
Avg Cost/Claim
$25
National Cost Distribution
How much do providers bill per claim for 65210? Based on 23 providers billing this code nationally.
Median
$18.58
Average
$24.45
Std Dev
$19.42
Max
$90.06
Percentile Distribution (Cost per Claim)
50% of providers bill between $11.74 and $35.09 per claim for this code.
90% bill between $8.89 and $41.42.
Top 1% bill above $81.06.
About This Procedure
HCPCS code 65210 was billed by 24 providers across 20K claims, totaling $485K in Medicaid payments from 2018–2024. This code was used for 19K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$18.58
Providers Billing
23
National Spending
$485K
Avg/Median Ratio
1.32×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 65210
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1316941966 | $179K |
| 2 | 1689620015 | $89K |
| 3 | 1740723774 | $70K |
| 4 | 1073536090 | $48K |
| 5 | 1851332241 | $26K |
| 6 | 1992946180 | $20K |
| 7 | 1942471941 | $18K |
| 8 | 1629228572 | $9K |
| 9 | 1184629503 | $8K |
| 10 | 1558682179 | $7K |
| 11 | 1154842359 | $5K |
| 12 | 1396995239 | $1K |
| 13 | 1972235646 | $983 |
| 14 | 1124256581 | $559 |
| 15 | 1639238140 | $550 |
| 16 | 1477574200 | $527 |
| 17 | 1003840844 | $437 |
| 18 | 1174537021 | $354 |
| 19 | 1811966179 | $308 |
| 20 | 1730273806 | $291 |
Showing top 20 of 24 providers billing this code