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#4216 of 11K

70210

HCPCS Procedure Code

HCPCS code 70210 is the #4,216 most-billed Medicaid procedure code, with $748K in payments across 45K claims from 2018–2024. The national median cost per claim is $12.41. Costs vary widely — the 90th percentile is $26.21 per claim, 2.1× the median.

Total Paid

$748K

0.00% of all spending

Total Claims

45K

Providers

128

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for 70210? Based on 125 providers billing this code nationally.

Median

$12.41

Average

$15.77

Std Dev

$15.51

Max

$110.84

Percentile Distribution (Cost per Claim)

p10
$5.40
p25
$7.04
Median
$12.41
p75
$18.74
p90
$26.21
p95
$41.54
p99
$87.91

50% of providers bill between $7.04 and $18.74 per claim for this code.

90% bill between $5.40 and $26.21.

Top 1% bill above $87.91.

About This Procedure

HCPCS code 70210 was billed by 128 providers across 45K claims, totaling $748K in Medicaid payments from 2018–2024. This code was used for 40K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.41

Providers Billing

125

National Spending

$748K

Avg/Median Ratio

1.27×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 70210

#ProviderTotal Paid
11760410401$187K
21306954425$75K
31952474165$74K
41124136593$51K
51508858937$40K
61558459917$20K
71548538200$17K
81295818078$16K
91942501838$16K
101346297843$13K
111104265214$12K
121336109768$12K
131437378163$10K
141184719874$10K
151063596757$10K
161679504260$8K
171811001613$7K
181144228446$7K
19Johns Hopkins All Children's Hospital Inc

St Petersburg, FL · General Acute Care Hospital Children

$7K
201366890311$7K

Showing top 20 of 128 providers billing this code

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