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#5605 of 11K

S0610

HCPCS Procedure Code

HCPCS code S0610 is the #5,605 most-billed Medicaid procedure code, with $168K in payments across 3,717 claims from 2018–2024. The national median cost per claim is $33.05. Costs vary widely — the 90th percentile is $118.02 per claim, 3.6× the median.

Total Paid

$168K

0.00% of all spending

Total Claims

3,717

Providers

17

Avg Cost/Claim

$45

National Cost Distribution

How much do providers bill per claim for S0610? Based on 13 providers billing this code nationally.

Median

$33.05

Average

$48.79

Std Dev

$48.23

Max

$132.80

Percentile Distribution (Cost per Claim)

p10
$6.82
p25
$7.44
Median
$33.05
p75
$80.32
p90
$118.02
p95
$125.56
p99
$131.35

50% of providers bill between $7.44 and $80.32 per claim for this code.

90% bill between $6.82 and $118.02.

Top 1% bill above $131.35.

About This Procedure

HCPCS code S0610 was billed by 17 providers across 3,717 claims, totaling $168K in Medicaid payments from 2018–2024. This code was used for 3,026 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$33.05

Providers Billing

13

National Spending

$168K

Avg/Median Ratio

1.48×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S0610

#ProviderTotal Paid
11548291891$67K
21376528729$56K
31730133992$32K
41467534636$4K
51386915858$4K
61861525925$3K
71144693607$1K
81942645247$313
91467826594$305
101891022232$252
11Lasante Health Center Inc

Brooklyn, NY · Clinic/Center, Community Health

$243
121285809509$188
131437247509$20
141619036514$0
151407981160$0
161750766762$0
17Dap Health, Inc.

El Cajon, CA · Family Medicine

$0

Showing top 17 of 17 providers billing this code