Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#1534 of 11K

92610

Evaluation of swallowing function

Evaluation of swallowing function is the #1,534 most-billed Medicaid procedure code, with $19.9M in payments across 245K claims from 2018–2024. The national median cost per claim is $45.22. Costs vary widely — the 90th percentile is $123.36 per claim, 2.7× the median.

Total Paid

$19.9M

0.00% of all spending

Total Claims

245K

Providers

599

Avg Cost/Claim

$81

National Cost Distribution

How much do providers bill per claim for 92610? Based on 531 providers billing this code nationally.

Median

$45.22

Average

$58.49

Std Dev

$56.05

Max

$417.23

Percentile Distribution (Cost per Claim)

p10
$9.23
p25
$22.31
Median
$45.22
p75
$70.58
p90
$123.36
p95
$173.42
p99
$298.52

50% of providers bill between $22.31 and $70.58 per claim for this code.

90% bill between $9.23 and $123.36.

Top 1% bill above $298.52.

About This Procedure

HCPCS code 92610 (Evaluation of swallowing function) was billed by 599 providers across 245K claims, totaling $19.9M in Medicaid payments from 2018–2024. This code was used for 193K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$45.22

Providers Billing

531

National Spending

$19.9M

Avg/Median Ratio

1.29×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92610

#ProviderTotal Paid
1Children's Hospital Corporation

Boston, MA · Clinic/Center

$1.4M
2Children's Specialized Hospital

New Brunswick, NJ · Pediatrics

$1.0M
3Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$1.0M
4Connecticut Children's Medical Center

Hartford, CT · General Acute Care Hospital, Children

$823K
5Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$728K
61801971502$726K
7The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$666K
81114583044$621K
9Johns Hopkins All Children's Hospital Inc

St Petersburg, FL · General Acute Care Hospital Children

$619K
10Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$585K
11Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$559K
12Variety Children's Hospital

Miami, FL · General Acute Care Hospital Children

$408K
13Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$313K
14Childrens Hospital Of Philadelphia

Philadelphia, PA · General Acute Care Hospital Children

$300K
15Dayton Children's Hospital

Dayton, OH · General Acute Care Hospital, Children

$249K
161700281714$237K
17Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$231K
181720125917$218K
191225622889$213K
20Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$208K

Showing top 20 of 599 providers billing this code