#2967 of 11K

41010

HCPCS Procedure Code

HCPCS code 41010 is the #2,967 most-billed Medicaid procedure code, with $2.9M in payments across 9K claims from 2018–2024. The national median cost per claim is $143.34. Costs vary widely — the 90th percentile is $969.78 per claim, 6.8× the median.

Total Paid

$2.9M

0.00% of all spending

Total Claims

Providers

Avg Cost/Claim

$316

National Cost Distribution

How much do providers bill per claim for 41010? Based on 58 providers billing this code nationally.

Median

$143.34

Average

$301.11

Std Dev

$377.65

Max

$1,645.09

Percentile Distribution (Cost per Claim)

p10

$58.56

p25

$82.72

Median

$143.34

p75

$314.59

p90

$969.78

p95

$1,195.81

p99

$1,434.14

50% of providers bill between $82.72 and $314.59 per claim for this code.

90% bill between $58.56 and $969.78.

Top 1% bill above $1,434.14.

About This Procedure

HCPCS code 41010 was billed by 60 providers across 9K claims, totaling $2.9M in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$143.34

Providers Billing

National Spending

$2.9M

Avg/Median Ratio

2.10×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 41010

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Vanderbilt University Medical Center Nashville, TN · Psychiatric Unit	$529K	$1,123.70	7.8× median	Top 10%
2	Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children	$442K	$1,275.01	8.9× median	Top 10%
3	1265417174	$238K	$173.39	1.2× median	Above Median
4	Dayton Children's Hospital Dayton, OH · General Acute Care Hospital, Children	$180K	$1,273.38	8.9× median	Top 10%
5	Vanderbilt University Medical Center Nashville, TN · Transplant Surgery	$145K	$89.83	0.6× median	Below Median
6	Montefiore Medical Center Bronx, NY · General Acute Care Hospital	$142K	$1,075.70	7.5× median	Top 10%
7	Maimonides Medical Center Brooklyn, NY · General Acute Care Hospital	$133K	$1,645.09	11.5× median	Top 1%
8	1700037801	$131K	$924.39	6.4× median	Above 75th
9	1629263181	$107K	$142.51	1.0× median	Below Median
10	1689664906	$100K	$401.29	2.8× median	Above 75th
11	Suny Health Science Center At Syracuse Syracuse, NY · General Acute Care Hospital	$85K	$786.75	5.5× median	Above 75th
12	1275596280	$79K	$269.53	1.9× median	Above Median
13	1316341514	$78K	$355.45	2.5× median	Above 75th
14	1245365196	$64K	$499.98	3.5× median	Above 75th
15	1669420360	$59K	$202.49	1.4× median	Above Median
16	1982643003	$51K	$318.94	2.2× median	Above 75th
17	1437790367	$32K	$252.14	1.8× median	Above Median
18	1437720414	$31K	$301.56	2.1× median	Above Median
19	1306155353	$28K	$108.99	0.8× median	Below Median
20	1124464995	$28K	$88.30	0.6× median	Below Median

Showing top 20 of 60 providers billing this code

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