#2657 of 11K

99510

HCPCS Procedure Code

HCPCS code 99510 is the #2,657 most-billed Medicaid procedure code, with $4.3M in payments across 37K claims from 2018–2024. The national median cost per claim is $44.79. Costs vary widely — the 90th percentile is $173.25 per claim, 3.9× the median.

Total Paid

$4.3M

0.00% of all spending

Total Claims

37K

Providers

Avg Cost/Claim

$115

National Cost Distribution

How much do providers bill per claim for 99510? Based on 36 providers billing this code nationally.

Median

$44.79

Average

$80.42

Std Dev

$63.20

Max

$175.00

Percentile Distribution (Cost per Claim)

p10

$18.32

p25

$24.57

Median

$44.79

p75

$147.78

p90

$173.25

p95

$174.93

p99

$175.00

50% of providers bill between $24.57 and $147.78 per claim for this code.

90% bill between $18.32 and $173.25.

Top 1% bill above $175.00.

About This Procedure

HCPCS code 99510 was billed by 39 providers across 37K claims, totaling $4.3M in Medicaid payments from 2018–2024. This code was used for 26K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$44.79

Providers Billing

National Spending

$4.3M

Avg/Median Ratio

1.80×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 99510

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1972715456	$1.1M	$171.83	3.8× median	Above 75th
2	1790445021	$594K	$162.48	3.6× median	Above 75th
3	1063437069	$544K	$159.84	3.6× median	Above 75th
4	1720087117	$520K	$174.90	3.9× median	Top 10%
5	1720098981	$376K	$174.66	3.9× median	Top 10%
6	1760669923	$261K	$175.00	3.9× median	Top 1%
7	1386723146	$168K	$118.80	2.7× median	Above Median
8	1598810970	$110K	$103.03	2.3× median	Above Median
9	1790755932	$104K	$36.22	0.8× median	Below Median
10	1720162134	$86K	$119.46	2.7× median	Above Median
11	1750376430	$66K	$147.43	3.3× median	Above Median
12	1033159660	$47K	$148.81	3.3× median	Above 75th
13	1134126774	$37K	$29.09	0.6× median	Below Median
14	1841700077	$35K	$122.92	2.7× median	Above Median
15	1881741593	$31K	$47.35	1.1× median	Above Median
16	1124028204	$22K	$47.78	1.1× median	Above Median
17	1184291510	$21K	$42.24	0.9× median	Below Median
18	1902391436	$19K	$23.70	0.5× median	Below Median
19	1982657490	$15K	$36.01	0.8× median	Below Median
20	1952079030	$14K	$41.12	0.9× median	Below Median

Showing top 20 of 39 providers billing this code

Related Procedures

99509Home visit, assistance w/ ADLs$5.57B 99502$7.4M 99501$7.1M 99506$1.6M 99503$1.3M

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