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#715 of 11K

94010

HCPCS Procedure Code

HCPCS code 94010 is the #715 most-billed Medicaid procedure code, with $99.1M in payments across 3.9M claims from 2018–2024. The national median cost per claim is $18.11.

Total Paid

$99.1M

0.01% of all spending

Total Claims

3.9M

Providers

4K

Avg Cost/Claim

$25

National Cost Distribution

How much do providers bill per claim for 94010? Based on 4K providers billing this code nationally.

Median

$18.11

Average

$22.78

Std Dev

$37.82

Max

$1,199.51

Percentile Distribution (Cost per Claim)

p10
$4.87
p25
$9.17
Median
$18.11
p75
$25.51
p90
$34.59
p95
$49.14
p99
$151.99

50% of providers bill between $9.17 and $25.51 per claim for this code.

90% bill between $4.87 and $34.59.

Top 1% bill above $151.99.

About This Procedure

HCPCS code 94010 was billed by 4K providers across 3.9M claims, totaling $99.1M in Medicaid payments from 2018–2024. This code was used for 3.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$18.11

Providers Billing

4K

National Spending

$99.1M

Avg/Median Ratio

1.26×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 94010

#ProviderTotal Paid
1Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$1.8M
2Cook Children's Medical Center

Fort Worth, TX · General Acute Care Hospital Children

$1.7M
3Hmh Hospitals Corporation

Hackensack, NJ · Ambulance

$1.7M
4Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$1.5M
5Children's Health System Of Texas

Dallas, TX · General Acute Care Hospital Children

$1.4M
6Childrens Hospital Of The Kings Daughters Inc

Norfolk, VA · Social Worker, Clinical

$1.3M
7Children's Hospital Corporation

Boston, MA · Clinic/Center

$1.3M
8Texas Children's Hospital

Houston, TX · General Acute Care Hospital Children

$1.2M
9Connecticut Children's Medical Center

Hartford, CT · General Acute Care Hospital, Children

$1.2M
10Childrens Hospital Of Philadelphia

Philadelphia, PA · General Acute Care Hospital Children

$1.0M
11Children's Hospital

Washington, DC · General Acute Care Hospital Children

$939K
12University Of Kentucky

Lexington, KY · General Acute Care Hospital

$929K
131336533041$915K
14Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$847K
151922185370$838K
16Arkansas Childrens Hospital

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

$753K
17Newark Beth Israel Medical Center Inc

Newark, NJ · General Acute Care Hospital

$671K
18The Cooper Health System

Camden, NJ · General Acute Care Hospital

$669K
191144405762$668K
20The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$605K

Showing top 20 of 4K providers billing this code