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#294 of 11K

96110

Developmental screening, per standardized instrument

Developmental screening, per standardized instrument is the #294 most-billed Medicaid procedure code, with $475.4M in payments across 29.8M claims from 2018–2024. The national median cost per claim is $9.10. Costs vary widely — the 90th percentile is $23.68 per claim, 2.6× the median.

Total Paid

$475.4M

0.04% of all spending

Total Claims

29.8M

Providers

14K

Avg Cost/Claim

$16

National Cost Distribution

How much do providers bill per claim for 96110? Based on 13K providers billing this code nationally.

Median

$9.10

Average

$14.03

Std Dev

$25.79

Max

$1,035.51

Percentile Distribution (Cost per Claim)

p10
$2.07
p25
$6.43
Median
$9.10
p75
$14.94
p90
$23.68
p95
$38.48
p99
$113.08

50% of providers bill between $6.43 and $14.94 per claim for this code.

90% bill between $2.07 and $23.68.

Top 1% bill above $113.08.

About This Procedure

HCPCS code 96110 (Developmental screening, per standardized instrument) was billed by 14K providers across 29.8M claims, totaling $475.4M in Medicaid payments from 2018–2024. This code was used for 26.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.10

Providers Billing

13K

National Spending

$475.4M

Avg/Median Ratio

1.54×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 96110

#ProviderTotal Paid
1Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$46.5M
2Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$15.8M
3Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$10.9M
4Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$4.9M
51922049014$4.3M
6Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$4.3M
71801837810$4.1M
8The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$3.9M
91609923671$3.2M
101134128820$3.2M
11Cambridge Public Health Commission

Cambridge, MA · General Acute Care Hospital

$3.0M
121992144380$2.1M
13Dayton Children's Hospital

Dayton, OH · General Acute Care Hospital, Children

$2.0M
141720017528$1.9M
151518042175$1.9M
161811091952$1.9M
171013182260$1.8M
181235350901$1.8M
19Children's Hospital Medical Center Of Akron

Akron, OH · General Acute Care Hospital Children

$1.8M
201285675371$1.8M

Showing top 20 of 14K providers billing this code