S5010
HCPCS Procedure Code
HCPCS code S5010 is the #6,009 most-billed Medicaid procedure code, with $107K in payments across 7K claims from 2018–2024. The national median cost per claim is $11.31. Costs vary widely — the 90th percentile is $335.15 per claim, 29.6× the median.
Total Paid
$107K
0.00% of all spending
Total Claims
7K
Providers
17
Avg Cost/Claim
$15
National Cost Distribution
How much do providers bill per claim for S5010? Based on 11 providers billing this code nationally.
Median
$11.31
Average
$107.97
Std Dev
$211.55
Max
$672.98
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.19 and $65.16 per claim for this code.
90% bill between $0.06 and $335.15.
Top 1% bill above $639.19.
About This Procedure
HCPCS code S5010 was billed by 17 providers across 7K claims, totaling $107K in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.31
Providers Billing
11
National Spending
$107K
Avg/Median Ratio
9.55×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for S5010
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1952333205 | $48K |
| 2 | 1144274317 | $35K |
| 3 | 1528014669 | $9K |
| 4 | 1154373843 | $8K |
| 5 | 1386681468 | $4K |
| 6 | 1154618742 | $995 |
| 7 | Cook Children's Medical Center Fort Worth, TX · General Acute Care Hospital Children | $410 |
| 8 | Vhs Childrens Hospital Of Michigan Inc Detroit, MI · Clinic/Center, Ambulatory Surgical | $305 |
| 9 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $27 |
| 10 | University Of California Irvine Orange, CA · General Acute Care Hospital | $25 |
| 11 | 1861439952 | $6 |
| 12 | 1821002007 | $0 |
| 13 | 1487868097 | $0 |
| 14 | Inova Health Care Services Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder | $0 |
| 15 | 1811080526 | $0 |
| 16 | 1376564302 | $0 |
| 17 | 1487699047 | $0 |
Showing top 17 of 17 providers billing this code