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#456 of 11K

20610

Arthrocentesis, aspiration/injection, major joint

Arthrocentesis, aspiration/injection, major joint is the #456 most-billed Medicaid procedure code, with $212.5M in payments across 4.4M claims from 2018–2024. The national median cost per claim is $29.03. Costs vary widely — the 90th percentile is $70.19 per claim, 2.4× the median.

Total Paid

$212.5M

0.02% of all spending

Total Claims

4.4M

Providers

5K

Avg Cost/Claim

$48

National Cost Distribution

How much do providers bill per claim for 20610? Based on 5K providers billing this code nationally.

Median

$29.03

Average

$40.69

Std Dev

$53.75

Max

$1,318.26

Percentile Distribution (Cost per Claim)

p10
$8.86
p25
$17.95
Median
$29.03
p75
$42.82
p90
$70.19
p95
$130.24
p99
$249.04

50% of providers bill between $17.95 and $42.82 per claim for this code.

90% bill between $8.86 and $70.19.

Top 1% bill above $249.04.

About This Procedure

HCPCS code 20610 (Arthrocentesis, aspiration/injection, major joint) was billed by 5K providers across 4.4M claims, totaling $212.5M in Medicaid payments from 2018–2024. This code was used for 3.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$29.03

Providers Billing

5K

National Spending

$212.5M

Avg/Median Ratio

1.40×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 20610

#ProviderTotal Paid
1The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$3.6M
2Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$3.6M
3The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$2.9M
41083708226$2.5M
5Montefiore Medical Center

Bronx, NY · Anesthesiology

$2.5M
6Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$2.5M
7Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$2.3M
8Medstar Washington Hospital Center

Washington, DC · General Acute Care Hospital

$2.2M
9Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$2.2M
10Cambridge Public Health Commission

Cambridge, MA · General Acute Care Hospital

$2.0M
11Pikeville Medical Center Inc

Pikeville, KY · General Acute Care Hospital

$1.9M
121336187475$1.8M
13Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$1.7M
141306281126$1.6M
15Beth Israel Deaconess Medical Center, Inc.

Boston, MA · General Acute Care Hospital

$1.5M
161427095801$1.5M
171558392563$1.3M
181740398890$1.2M
19Hennepin Healthcare System Inc

Minneapolis, MN · General Acute Care Hospital

$1.1M
20Bronxcare Health System

Bronx, NY · General Acute Care Hospital

$1.1M

Showing top 20 of 5K providers billing this code