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#6427 of 11K

84210

HCPCS Procedure Code

HCPCS code 84210 is the #6,427 most-billed Medicaid procedure code, with $66K in payments across 7K claims from 2018–2024. The national median cost per claim is $8.27. Costs vary widely — the 90th percentile is $16.65 per claim, 2.0× the median.

Total Paid

$66K

0.00% of all spending

Total Claims

7K

Providers

24

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for 84210? Based on 23 providers billing this code nationally.

Median

$8.27

Average

$11.14

Std Dev

$10.42

Max

$54.63

Percentile Distribution (Cost per Claim)

p10
$5.25
p25
$6.09
Median
$8.27
p75
$12.33
p90
$16.65
p95
$19.26
p99
$46.90

50% of providers bill between $6.09 and $12.33 per claim for this code.

90% bill between $5.25 and $16.65.

Top 1% bill above $46.90.

About This Procedure

HCPCS code 84210 was billed by 24 providers across 7K claims, totaling $66K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.27

Providers Billing

23

National Spending

$66K

Avg/Median Ratio

1.35×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 84210

#ProviderTotal Paid
11629109137$39K
2Childrens Hospital Of Philadelphia

Philadelphia, PA · General Acute Care Hospital Children

$8K
3Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$6K
4State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$4K
5Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$1K
61073591822$1K
7Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$1K
81316241102$644
9Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$589
10The Brookdale Hospital Medical Center

Brooklyn, NY · General Acute Care Hospital

$528
11The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$487
121447233861$436
13Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$402
14Seattle Children's Hospital

Seattle, WA · Prosthetic/Orthotic Supplier

$347
151164402038$309
16Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$253
17Children's Hospital Corporation

Boston, MA · Clinic/Center

$234
18Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$223
19Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$191
20Mayo Collaborative Services, Inc

Rochester, MN · Clinical Medical Laboratory

$154

Showing top 20 of 24 providers billing this code