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#7986 of 11K

D5610

HCPCS Procedure Code

HCPCS code D5610 is the #7,986 most-billed Medicaid procedure code, with $8K in payments across 304 claims from 2018–2024. The national median cost per claim is $82.62.

Total Paid

$8K

0.00% of all spending

Total Claims

304

Providers

7

Avg Cost/Claim

$25

National Cost Distribution

How much do providers bill per claim for D5610? Based on 3 providers billing this code nationally.

Median

$82.62

Average

$82.07

Std Dev

$2.26

Max

$84.00

Percentile Distribution (Cost per Claim)

p10
$80.19
p25
$81.10
Median
$82.62
p75
$83.31
p90
$83.72
p95
$83.86
p99
$83.97

50% of providers bill between $81.10 and $83.31 per claim for this code.

90% bill between $80.19 and $83.72.

Top 1% bill above $83.97.

About This Procedure

HCPCS code D5610 was billed by 7 providers across 304 claims, totaling $8K in Medicaid payments from 2018–2024. This code was used for 146 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$82.62

Providers Billing

3

National Spending

$8K

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D5610

#ProviderTotal Paid
11720120652$5K
21376932459$2K
31033105481$1K
41972970671$0
5Lynn Community Health, Inc.

Lynn, MA · Clinic/Center, Community Health

$0
6Brockton Neighborhood Health Center

Brockton, MA · Clinic/Center, Federally Qualified Health Center (FQHC)

$0
71891944476$0

Showing top 7 of 7 providers billing this code

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