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#555 of 11K

99310

HCPCS Procedure Code

HCPCS code 99310 is the #555 most-billed Medicaid procedure code, with $148.5M in payments across 4.8M claims from 2018–2024. The national median cost per claim is $21.82. Costs vary widely — the 90th percentile is $63.23 per claim, 2.9× the median.

Total Paid

$148.5M

0.01% of all spending

Total Claims

4.8M

Providers

4K

Avg Cost/Claim

$31

National Cost Distribution

How much do providers bill per claim for 99310? Based on 4K providers billing this code nationally.

Median

$21.82

Average

$29.25

Std Dev

$32.32

Max

$1,166.09

Percentile Distribution (Cost per Claim)

p10
$4.57
p25
$10.42
Median
$21.82
p75
$38.79
p90
$63.23
p95
$80.09
p99
$123.29

50% of providers bill between $10.42 and $38.79 per claim for this code.

90% bill between $4.57 and $63.23.

Top 1% bill above $123.29.

About This Procedure

HCPCS code 99310 was billed by 4K providers across 4.8M claims, totaling $148.5M in Medicaid payments from 2018–2024. This code was used for 2.7M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$21.82

Providers Billing

4K

National Spending

$148.5M

Avg/Median Ratio

1.34×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 99310

#ProviderTotal Paid
11477027381$4.0M
21942267901$3.2M
31104018423$2.9M
4Group Health Plan, Inc.

Minneapolis, MN · Clinic/Center, Multi-Specialty

$2.8M
51699157701$2.6M
61689799579$2.4M
71972912228$2.1M
81558318345$2.0M
91841242948$1.9M
101962821223$1.9M
111588741292$1.8M
121316477896$1.8M
131871852343$1.7M
141275576522$1.7M
151992176499$1.7M
161750478160$1.6M
171265546261$1.6M
181114115706$1.5M
191245892066$1.4M
201700894466$1.3M

Showing top 20 of 4K providers billing this code