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#3188 of 11K

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)

p10
$4.25
p25
$6.58
Median
$9.69
p75
$19.36
p90
$58.12
p95
$89.67
p99
$163.02

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

#ProviderTotal Paid
1Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$537K
2State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$180K
3Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$155K
41487868097$149K
5Childrens Hospital Of The Kings Daughters Inc

Norfolk, VA · Social Worker, Clinical

$85K
6Johns Hopkins All Children's Hospital Inc

St Petersburg, FL · General Acute Care Hospital Children

$65K
7University Of Kentucky

Lexington, KY · General Acute Care Hospital

$59K
8Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$55K
91649726738$52K
10Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$44K
111750364345$43K
12Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$41K
131700865094$41K
14West Virginia University Hospitals, Inc

Morgantown, WV · Clinical Medical Laboratory

$39K
15Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$37K
161336533041$33K
171144228446$29K
18Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$27K
191609192319$26K
20Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$25K

Showing top 20 of 211 providers billing this code

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