01922
HCPCS Procedure Code
HCPCS code 01922 is the #953 most-billed Medicaid procedure code, with $55.0M in payments across 332K claims from 2018–2024. The national median cost per claim is $166.77.
Total Paid
$55.0M
0.01% of all spending
Total Claims
332K
Providers
392
Avg Cost/Claim
$166
National Cost Distribution
How much do providers bill per claim for 01922? Based on 388 providers billing this code nationally.
Median
$166.77
Average
$176.66
Std Dev
$99.67
Max
$587.51
Percentile Distribution (Cost per Claim)
50% of providers bill between $105.33 and $223.39 per claim for this code.
90% bill between $58.58 and $319.48.
Top 1% bill above $455.42.
About This Procedure
HCPCS code 01922 was billed by 392 providers across 332K claims, totaling $55.0M in Medicaid payments from 2018–2024. This code was used for 285K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$166.77
Providers Billing
388
National Spending
$55.0M
Avg/Median Ratio
1.06×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 01922
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $2.3M |
| 2 | 1285660704 | $1.6M |
| 3 | 1023112414 | $1.3M |
| 4 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $1.3M |
| 5 | Ut Physicians Houston, TX · Emergency Medicine | $1.3M |
| 6 | 1700837408 | $1.3M |
| 7 | 1053354233 | $1.1M |
| 8 | 1558314427 | $1.1M |
| 9 | 1346267267 | $1.0M |
| 10 | Ou Health Partners, Inc Oklahoma City, OK · Clinic/Center, Multi-Specialty | $999K |
| 11 | Cook Children's Physician Network Fort Worth, TX · Medical Genetics, Clinical Genetics (M.D.) | $892K |
| 12 | Texas Children's Physician Group Houston, TX · Pediatrics | $883K |
| 13 | Vanderbilt University Medical Center Nashville, TN · Transplant Surgery | $882K |
| 14 | 1477503407 | $873K |
| 15 | 1164407987 | $854K |
| 16 | 1609915784 | $853K |
| 17 | 1720087802 | $818K |
| 18 | Variety Children's Hospital Miami, FL · General Acute Care Hospital Children | $814K |
| 19 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $785K |
| 20 | 1801869250 | $747K |
Showing top 20 of 392 providers billing this code