69210
HCPCS Procedure Code
HCPCS code 69210 is the #1,191 most-billed Medicaid procedure code, with $34.3M in payments across 1.4M claims from 2018–2024. The national median cost per claim is $21.74.
Total Paid
$34.3M
0.00% of all spending
Total Claims
1.4M
Providers
3K
Avg Cost/Claim
$24
National Cost Distribution
How much do providers bill per claim for 69210? Based on 3K providers billing this code nationally.
Median
$21.74
Average
$26.49
Std Dev
$50.68
Max
$2,015.04
Percentile Distribution (Cost per Claim)
50% of providers bill between $12.72 and $32.27 per claim for this code.
90% bill between $5.09 and $42.46.
Top 1% bill above $138.07.
About This Procedure
HCPCS code 69210 was billed by 3K providers across 1.4M claims, totaling $34.3M in Medicaid payments from 2018–2024. This code was used for 1.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$21.74
Providers Billing
3K
National Spending
$34.3M
Avg/Median Ratio
1.22×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 69210
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1376598326 | $1.5M |
| 2 | 1831298751 | $1.4M |
| 3 | Bexar County Hospital District San Antonio, TX · Clinical Medical Laboratory | $999K |
| 4 | 1558682179 | $618K |
| 5 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $391K |
| 6 | 1982715512 | $349K |
| 7 | 1063629186 | $345K |
| 8 | 1124079769 | $330K |
| 9 | 1508423021 | $296K |
| 10 | 1225355860 | $266K |
| 11 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $261K |
| 12 | 1255405460 | $238K |
| 13 | 1861592867 | $230K |
| 14 | Ochsner Clinic Llc New Orleans, LA · Surgery | $224K |
| 15 | 1609923671 | $220K |
| 16 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $205K |
| 17 | 1962655472 | $198K |
| 18 | 1841484235 | $198K |
| 19 | 1912039710 | $183K |
| 20 | 1093466088 | $179K |
Showing top 20 of 3K providers billing this code