70250
HCPCS Procedure Code
HCPCS code 70250 is the #3,188 most-billed Medicaid procedure code, with $2.3M in payments across 89K claims from 2018–2024. The national median cost per claim is $9.69. Costs vary widely — the 90th percentile is $58.12 per claim, 6.0× the median.
Total Paid
$2.3M
0.00% of all spending
Total Claims
89K
Providers
211
Avg Cost/Claim
$26
National Cost Distribution
How much do providers bill per claim for 70250? Based on 206 providers billing this code nationally.
Median
$9.69
Average
$23.37
Std Dev
$43.73
Max
$401.51
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.58 and $19.36 per claim for this code.
90% bill between $4.25 and $58.12.
Top 1% bill above $163.02.
About This Procedure
HCPCS code 70250 was billed by 211 providers across 89K claims, totaling $2.3M in Medicaid payments from 2018–2024. This code was used for 73K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.69
Providers Billing
206
National Spending
$2.3M
Avg/Median Ratio
2.41×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 70250
| # | Provider | Total Paid |
|---|---|---|
| 1 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $537K |
| 2 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $180K |
| 3 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $155K |
| 4 | 1487868097 | $149K |
| 5 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $85K |
| 6 | Johns Hopkins All Children's Hospital Inc St Petersburg, FL · General Acute Care Hospital Children | $65K |
| 7 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $59K |
| 8 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $55K |
| 9 | 1649726738 | $52K |
| 10 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $44K |
| 11 | 1750364345 | $43K |
| 12 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $41K |
| 13 | 1700865094 | $41K |
| 14 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $39K |
| 15 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $37K |
| 16 | 1336533041 | $33K |
| 17 | 1144228446 | $29K |
| 18 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $27K |
| 19 | 1609192319 | $26K |
| 20 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $25K |
Showing top 20 of 211 providers billing this code