70260
HCPCS Procedure Code
HCPCS code 70260 is the #4,846 most-billed Medicaid procedure code, with $378K in payments across 19K claims from 2018–2024. The national median cost per claim is $12.54. Costs vary widely — the 90th percentile is $63.91 per claim, 5.1× the median.
Total Paid
$378K
0.00% of all spending
Total Claims
19K
Providers
61
Avg Cost/Claim
$20
National Cost Distribution
How much do providers bill per claim for 70260? Based on 59 providers billing this code nationally.
Median
$12.54
Average
$25.80
Std Dev
$36.20
Max
$176.62
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.37 and $22.78 per claim for this code.
90% bill between $3.18 and $63.91.
Top 1% bill above $160.09.
About This Procedure
HCPCS code 70260 was billed by 61 providers across 19K claims, totaling $378K in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.54
Providers Billing
59
National Spending
$378K
Avg/Median Ratio
2.06×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 70260
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1932208576 | $65K |
| 2 | Variety Children's Hospital Miami, FL · General Acute Care Hospital Children | $44K |
| 3 | 1124022744 | $32K |
| 4 | 1871582072 | $28K |
| 5 | 1073684817 | $27K |
| 6 | 1073827101 | $24K |
| 7 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $20K |
| 8 | Vhs Childrens Hospital Of Michigan Inc Detroit, MI · Clinic/Center, Ambulatory Surgical | $19K |
| 9 | 1952452583 | $16K |
| 10 | 1609192319 | $14K |
| 11 | 1396731105 | $14K |
| 12 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $12K |
| 13 | 1700949336 | $6K |
| 14 | 1548232044 | $6K |
| 15 | 1700865094 | $5K |
| 16 | 1336219849 | $5K |
| 17 | 1780669200 | $4K |
| 18 | 1780667923 | $4K |
| 19 | 1437489754 | $3K |
| 20 | 1750419974 | $2K |
Showing top 20 of 61 providers billing this code