70360
HCPCS Procedure Code
HCPCS code 70360 is the #2,494 most-billed Medicaid procedure code, with $5.4M in payments across 245K claims from 2018–2024. The national median cost per claim is $9.68. Costs vary widely — the 90th percentile is $54.72 per claim, 5.7× the median.
Total Paid
$5.4M
0.00% of all spending
Total Claims
245K
Providers
593
Avg Cost/Claim
$22
National Cost Distribution
How much do providers bill per claim for 70360? Based on 583 providers billing this code nationally.
Median
$9.68
Average
$20.35
Std Dev
$27.34
Max
$229.73
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.53 and $21.37 per claim for this code.
90% bill between $3.69 and $54.72.
Top 1% bill above $135.02.
About This Procedure
HCPCS code 70360 was billed by 593 providers across 245K claims, totaling $5.4M in Medicaid payments from 2018–2024. This code was used for 232K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.68
Providers Billing
583
National Spending
$5.4M
Avg/Median Ratio
2.10×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 70360
| # | Provider | Total Paid |
|---|---|---|
| 1 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $911K |
| 2 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $421K |
| 3 | Johns Hopkins All Children's Hospital Inc St Petersburg, FL · General Acute Care Hospital Children | $189K |
| 4 | Texas Children's Hospital Houston, TX · General Acute Care Hospital Children | $170K |
| 5 | The Nemours Foundation Orlando, FL · General Acute Care Hospital Children | $152K |
| 6 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $137K |
| 7 | The Nemours Foundation Wilmington, DE · General Acute Care Hospital Children | $122K |
| 8 | 1548538200 | $120K |
| 9 | Variety Children's Hospital Miami, FL · General Acute Care Hospital Children | $118K |
| 10 | 1386709871 | $101K |
| 11 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $89K |
| 12 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $71K |
| 13 | 1700949336 | $69K |
| 14 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $69K |
| 15 | Carilion Medical Center Roanoke, VA · General Acute Care Hospital | $62K |
| 16 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $61K |
| 17 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $61K |
| 18 | 1336245828 | $59K |
| 19 | Children's Hospital Corporation Boston, MA · Clinic/Center | $58K |
| 20 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $58K |
Showing top 20 of 593 providers billing this code