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#2798 of 11K

T2101

HCPCS Procedure Code

HCPCS code T2101 is the #2,798 most-billed Medicaid procedure code, with $3.6M in payments across 22K claims from 2018–2024. The national median cost per claim is $18.58. Costs vary widely — the 90th percentile is $932.87 per claim, 50.2× the median.

Total Paid

$3.6M

0.00% of all spending

Total Claims

22K

Providers

13

Avg Cost/Claim

$165

National Cost Distribution

How much do providers bill per claim for T2101? Based on 13 providers billing this code nationally.

Median

$18.58

Average

$263.14

Std Dev

$444.72

Max

$1,315.79

Percentile Distribution (Cost per Claim)

p10
$10.64
p25
$11.89
Median
$18.58
p75
$273.77
p90
$932.87
p95
$1,122.33
p99
$1,277.10

50% of providers bill between $11.89 and $273.77 per claim for this code.

90% bill between $10.64 and $932.87.

Top 1% bill above $1,277.10.

About This Procedure

HCPCS code T2101 was billed by 13 providers across 22K claims, totaling $3.6M in Medicaid payments from 2018–2024. This code was used for 3,807 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$18.58

Providers Billing

13

National Spending

$3.6M

Avg/Median Ratio

14.16×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for T2101

#ProviderTotal Paid
11033270582$1.7M
21386159051$1.5M
3Ochsner Clinic Foundation

New Orleans, LA · General Acute Care Hospital

$128K
41285253252$102K
51427616002$66K
61912943184$39K
7Tarrant County Hospital District

Fort Worth, TX · Clinic/Center, Ambulatory Family Planning Facility

$25K
8Johns Hopkins All Children's Hospital Inc

St Petersburg, FL · General Acute Care Hospital Children

$13K
9Children's Health System Of Texas

Dallas, TX · General Acute Care Hospital Children

$3K
10Nyu Langone Hospitals

Brooklyn, NY · General Acute Care Hospital

$2K
111275536799$2K
121669472387$321
131992700983$239

Showing top 13 of 13 providers billing this code