#5435 of 11K

84510

HCPCS Procedure Code

HCPCS code 84510 is the #5,435 most-billed Medicaid procedure code, with $199K in payments across 9,863 claims from 2018–2024. The national median cost per claim is $7.11. Costs vary widely — the 90th percentile is $21.51 per claim, 3.0× the median.

Total Paid

$199K

0.00% of all spending

Total Claims

9,863

Providers

Avg Cost/Claim

$20

National Cost Distribution

How much do providers bill per claim for 84510? Based on 21 providers billing this code nationally.

Median

$7.11

Average

$11.60

Std Dev

$13.77

Max

$58.40

Percentile Distribution (Cost per Claim)

p10

$1.77

p25

$4.51

Median

$7.11

p75

$11.78

p90

$21.51

p95

$39.02

p99

$54.52

50% of providers bill between $4.51 and $11.78 per claim for this code.

90% bill between $1.77 and $21.51.

Top 1% bill above $54.52.

About This Procedure

HCPCS code 84510 was billed by 21 providers across 9,863 claims, totaling $199K in Medicaid payments from 2018–2024. This code was used for 7,159 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.11

Providers Billing

National Spending

$199K

Avg/Median Ratio

1.63×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 84510

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1336245828	$112K	$58.40	8.2× median	Top 1%
2	Johns Hopkins All Children's Hospital Inc St Petersburg, FL · General Acute Care Hospital Children	$23K	$39.02	5.5× median	Top 10%
3	Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital	$16K	$8.20	1.2× median	Above Median
4	Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital	$12K	$18.05	2.5× median	Above 75th
5	1144266024	$10K	$9.21	1.3× median	Above Median
6	Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children	$8K	$21.51	3.0× median	Above 75th
7	1881632107	$5K	$4.82	0.7× median	Below Median
8	1922008150	$4K	$5.38	0.8× median	Below Median
9	1013994359	$2K	$11.93	1.7× median	Above 75th
10	1811080526	$2K	$11.78	1.7× median	Above 75th
11	1518993880	$1K	$7.11	1.0× median	Above Median
12	1811121726	$1K	$5.29	0.7× median	Below Median
13	1710917836	$915	$4.51	0.6× median	Below Median
14	1477515500	$633	$1.73	0.2× median	Below Median
15	Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry	$296	$10.97	1.5× median	Above Median
16	University Of Rochester Rochester, NY · General Acute Care Hospital	$206	$11.43	1.6× median	Above Median
17	1861535718	$148	$1.80	0.3× median	Below Median
18	1255883005	$146	$2.02	0.3× median	Below Median
19	1417409269	$112	$1.77	0.2× median	Below Median
20	1558313213	$105	$7.02	1.0× median	Below Median

Showing top 20 of 21 providers billing this code

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