#4195 of 11K

70310

HCPCS Procedure Code

HCPCS code 70310 is the #4,195 most-billed Medicaid procedure code, with $761K in payments across 34K claims from 2018–2024. The national median cost per claim is $14.69. Costs vary widely — the 90th percentile is $74.08 per claim, 5.0× the median.

Total Paid

$761K

0.00% of all spending

Total Claims

34K

Providers

Avg Cost/Claim

$23

National Cost Distribution

How much do providers bill per claim for 70310? Based on 30 providers billing this code nationally.

Median

$14.69

Average

$71.09

Std Dev

$258.20

Max

$1,429.36

Percentile Distribution (Cost per Claim)

p10

$0.68

p25

$1.77

Median

$14.69

p75

$45.68

p90

$74.08

p95

$101.92

p99

$1,044.86

50% of providers bill between $1.77 and $45.68 per claim for this code.

90% bill between $0.68 and $74.08.

Top 1% bill above $1,044.86.

About This Procedure

HCPCS code 70310 was billed by 42 providers across 34K claims, totaling $761K in Medicaid payments from 2018–2024. This code was used for 31K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.69

Providers Billing

National Spending

$761K

Avg/Median Ratio

4.84×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 70310

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1740246792	$212K	$48.39	3.3× median	Above 75th
2	1437259694	$116K	$1,429.36	97.3× median	Top 1%
3	Adventist Health System-sunbelt, Inc Orlando, FL · Ambulance, Land Transport	$85K	$47.48	3.2× median	Above 75th
4	Bridgeport Hospital Bridgeport, CT · General Acute Care Hospital	$63K	$71.20	4.8× median	Above 75th
5	1457458556	$62K	$26.18	1.8× median	Above Median
6	1629105770	$51K	$20.28	1.4× median	Above Median
7	1962508259	$49K	$62.86	4.3× median	Above 75th
8	Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator	$26K	$7.65	0.5× median	Below Median
9	1689674285	$23K	$22.31	1.5× median	Above Median
10	1154302487	$21K	$53.68	3.7× median	Above 75th
11	1962866418	$20K	$14.40	1.0× median	Below Median
12	1003102781	$6K	$14.98	1.0× median	Above Median
13	1962464016	$6K	$2.05	0.1× median	Below Median
14	1003836321	$5K	$23.29	1.6× median	Above Median
15	1639404171	$4K	$3.80	0.3× median	Below Median
16	1083708226	$3K	$103.49	7.0× median	Top 10%
17	1669905733	$2K	$100.00	6.8× median	Top 10%
18	1902835895	$2K	$15.90	1.1× median	Above Median
19	1508120411	$1K	$1.48	0.1× median	Below Median
20	Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children	$1K	$0.23	0.0× median	Below Median

Showing top 20 of 42 providers billing this code

Related Procedures

70320$383K 70300$17K

← All procedures Top providers →