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#4578 of 11K

76010

HCPCS Procedure Code

HCPCS code 76010 is the #4,578 most-billed Medicaid procedure code, with $506K in payments across 29K claims from 2018–2024. The national median cost per claim is $12.39. Costs vary widely — the 90th percentile is $58.24 per claim, 4.7× the median.

Total Paid

$506K

0.00% of all spending

Total Claims

29K

Providers

88

Avg Cost/Claim

$18

National Cost Distribution

How much do providers bill per claim for 76010? Based on 85 providers billing this code nationally.

Median

$12.39

Average

$23.98

Std Dev

$29.10

Max

$154.40

Percentile Distribution (Cost per Claim)

p10
$2.26
p25
$7.04
Median
$12.39
p75
$31.85
p90
$58.24
p95
$81.93
p99
$130.92

50% of providers bill between $7.04 and $31.85 per claim for this code.

90% bill between $2.26 and $58.24.

Top 1% bill above $130.92.

About This Procedure

HCPCS code 76010 was billed by 88 providers across 29K claims, totaling $506K in Medicaid payments from 2018–2024. This code was used for 25K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.39

Providers Billing

85

National Spending

$506K

Avg/Median Ratio

1.94×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 76010

#ProviderTotal Paid
1Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$100K
2Variety Children's Hospital

Miami, FL · General Acute Care Hospital Children

$54K
3Adventist Health System-sunbelt, Inc

Orlando, FL · Ambulance, Land Transport

$29K
41629084702$27K
51720051717$22K
6Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$21K
7Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$18K
8Southern Baptist Hospital Of Florida Inc

Jacksonville, FL · General Acute Care Hospital

$18K
9Southern Ohio Medical Center

Portsmouth, OH · Clinical Medical Laboratory

$15K
101700949336$15K
11Orlando Health Inc.

Orlando, FL · General Acute Care Hospital

$14K
12Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$12K
131881632818$11K
14Children's Hospital Medical Center Of Akron

Akron, OH · General Acute Care Hospital Children

$11K
15Ashland Hospital Corporation

Ashland, KY · Clinic/Center, Rural Health

$11K
161689744450$10K
171811080526$10K
18Arkansas Childrens Hospital

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

$8K
19Dayton Children's Hospital

Dayton, OH · General Acute Care Hospital, Children

$7K
20Spectrum Health Hospitals

Grand Rapids, MI · General Acute Care Hospital

$7K

Showing top 20 of 88 providers billing this code

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