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#849 of 11K

97010

Hot/cold packs application

Hot/cold packs application is the #849 most-billed Medicaid procedure code, with $67.9M in payments across 7.4M claims from 2018–2024. The national median cost per claim is $4.47. Costs vary widely — the 90th percentile is $18.62 per claim, 4.2× the median.

Total Paid

$67.9M

0.01% of all spending

Total Claims

7.4M

Providers

3K

Avg Cost/Claim

$9

National Cost Distribution

How much do providers bill per claim for 97010? Based on 2K providers billing this code nationally.

Median

$4.47

Average

$9.75

Std Dev

$22.47

Max

$625.17

Percentile Distribution (Cost per Claim)

p10
$0.09
p25
$1.28
Median
$4.47
p75
$11.76
p90
$18.62
p95
$34.83
p99
$73.93

50% of providers bill between $1.28 and $11.76 per claim for this code.

90% bill between $0.09 and $18.62.

Top 1% bill above $73.93.

About This Procedure

HCPCS code 97010 (Hot/cold packs application) was billed by 3K providers across 7.4M claims, totaling $67.9M in Medicaid payments from 2018–2024. This code was used for 2.5M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.47

Providers Billing

2K

National Spending

$67.9M

Avg/Median Ratio

2.18×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 97010

#ProviderTotal Paid
1Bronxcare Health System

Bronx, NY · General Acute Care Hospital

$4.8M
2Hartford Hospital

Hartford, CT · General Acute Care Hospital

$3.0M
31619901642$2.6M
41811084676$1.6M
51033293691$1.4M
6The William W Backus Hospital

Norwich, CT · Clinic/Center, Emergency Care

$1.3M
71750559431$1.3M
8Union Community Health Center Inc.

Bronx, NY · Clinic/Center

$1.3M
9Jersey City Medical Center

Jersey City, NJ · General Acute Care Hospital

$1.2M
101487740957$1.2M
111306215850$1.1M
121861717605$1.1M
13The Hospital Of Central Connecticut At New Britain General And Bradley

New Britain, CT · General Acute Care Hospital

$940K
141972728442$915K
151952394603$885K
16Danbury Hospital

Danbury, CT · General Practice

$864K
17Saint Mary's Hospital, Inc.

Waterbury, CT · General Acute Care Hospital

$810K
181730301169$789K
191679599161$756K
201255376893$751K

Showing top 20 of 3K providers billing this code