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#1140 of 11K

H1010

HCPCS Procedure Code

HCPCS code H1010 is the #1,140 most-billed Medicaid procedure code, with $37.8M in payments across 463K claims from 2018–2024. The national median cost per claim is $75.85.

Total Paid

$37.8M

0.00% of all spending

Total Claims

463K

Providers

71

Avg Cost/Claim

$82

National Cost Distribution

How much do providers bill per claim for H1010? Based on 65 providers billing this code nationally.

Median

$75.85

Average

$62.40

Std Dev

$33.01

Max

$117.00

Percentile Distribution (Cost per Claim)

p10
$11.31
p25
$45.14
Median
$75.85
p75
$89.24
p90
$95.13
p95
$97.63
p99
$110.07

50% of providers bill between $45.14 and $89.24 per claim for this code.

90% bill between $11.31 and $95.13.

Top 1% bill above $110.07.

About This Procedure

HCPCS code H1010 was billed by 71 providers across 463K claims, totaling $37.8M in Medicaid payments from 2018–2024. This code was used for 415K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$75.85

Providers Billing

65

National Spending

$37.8M

Avg/Median Ratio

0.82×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for H1010

#ProviderTotal Paid
11780859280$4.5M
21093989667$4.2M
31831363464$2.6M
41346414158$2.6M
51538152491$2.5M
61578738084$2.1M
7Planned Parenthood Of Wisconsin

Milwaukee, WI · Clinic/Center Ambulatory Family Planning Facility

$2.0M
81710151337$1.6M
91295909836$1.5M
101104091610$1.4M
111730353392$1.2M
121861667362$1.1M
131811541667$898K
141023253028$809K
151255506754$729K
161184897027$705K
171578737136$643K
181982878518$583K
191467626085$522K
201487772836$493K

Showing top 20 of 71 providers billing this code