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#4406 of 11K

71100

HCPCS Procedure Code

HCPCS code 71100 is the #4,406 most-billed Medicaid procedure code, with $609K in payments across 69K claims from 2018–2024. The national median cost per claim is $9.61. Costs vary widely — the 90th percentile is $34.14 per claim, 3.6× the median.

Total Paid

$609K

0.00% of all spending

Total Claims

69K

Providers

206

Avg Cost/Claim

$9

National Cost Distribution

How much do providers bill per claim for 71100? Based on 195 providers billing this code nationally.

Median

$9.61

Average

$16.10

Std Dev

$19.89

Max

$165.21

Percentile Distribution (Cost per Claim)

p10
$2.09
p25
$5.07
Median
$9.61
p75
$20.93
p90
$34.14
p95
$55.00
p99
$91.72

50% of providers bill between $5.07 and $20.93 per claim for this code.

90% bill between $2.09 and $34.14.

Top 1% bill above $91.72.

About This Procedure

HCPCS code 71100 was billed by 206 providers across 69K claims, totaling $609K in Medicaid payments from 2018–2024. This code was used for 55K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.61

Providers Billing

195

National Spending

$609K

Avg/Median Ratio

1.68×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 71100

#ProviderTotal Paid
11700865094$71K
2Antelope Valley Health Care District

Lancaster, CA · General Acute Care Hospital

$56K
3Lenox Hill Radiology & Medical Imaging Associates, Pc

New York, NY · Radiology, Body Imaging

$32K
41740283324$22K
5Ohio State University Hospitals

Columbus, OH · General Acute Care Hospital

$19K
6New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$15K
71508942681$15K
8Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$15K
91578529285$14K
10Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$14K
111760568752$13K
121205882503$13K
131316463227$13K
141700821808$11K
151649212002$10K
161811946734$9K
17Trinitas Regional Medical Center

Elizabeth, NJ · General Acute Care Hospital

$9K
181215927470$9K
191558313213$9K
20The Lowell General Hospital

Lowell, MA · Pharmacy, Institutional Pharmacy

$9K

Showing top 20 of 206 providers billing this code

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