#4856 of 11K

01924

HCPCS Procedure Code

HCPCS code 01924 is the #4,856 most-billed Medicaid procedure code, with $372K in payments across 4K claims from 2018–2024. The national median cost per claim is $42.49. Costs vary widely — the 90th percentile is $139.78 per claim, 3.3× the median.

Total Paid

$372K

0.00% of all spending

Total Claims

Providers

Avg Cost/Claim

$93

National Cost Distribution

How much do providers bill per claim for 01924? Based on 28 providers billing this code nationally.

Median

$42.49

Average

$110.72

Std Dev

$289.01

Max

$1,556.14

Percentile Distribution (Cost per Claim)

p10

$12.54

p25

$21.04

Median

$42.49

p75

$68.10

p90

$139.78

p95

$241.22

p99

$1,202.32

50% of providers bill between $21.04 and $68.10 per claim for this code.

90% bill between $12.54 and $139.78.

Top 1% bill above $1,202.32.

About This Procedure

HCPCS code 01924 was billed by 31 providers across 4K claims, totaling $372K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$42.49

Providers Billing

National Spending

$372K

Avg/Median Ratio

2.61×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 01924

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1891235404	$148K	$1,556.14	36.6× median	Top 1%
2	1710324041	$105K	$232.92	5.5× median	Top 10%
3	1497237036	$37K	$59.83	1.4× median	Above Median
4	1114502606	$21K	$41.38	1.0× median	Below Median
5	1467635128	$10K	$13.97	0.3× median	Below Median
6	1467004556	$9K	$61.23	1.4× median	Above Median
7	1225016926	$6K	$99.87	2.4× median	Above 75th
8	1831607811	$5K	$66.88	1.6× median	Above Median
9	1528160421	$4K	$23.12	0.5× median	Below Median
10	1487602546	$3K	$245.69	5.8× median	Top 10%
11	1023529591	$3K	$13.01	0.3× median	Below Median
12	1235150228	$3K	$74.60	1.8× median	Above 75th
13	1245685601	$3K	$38.75	0.9× median	Below Median
14	1720156490	$3K	$13.75	0.3× median	Below Median
15	1407821796	$2K	$71.78	1.7× median	Above 75th
16	1982609285	$1K	$9.14	0.2× median	Below Median
17	1750857421	$1K	$14.79	0.3× median	Below Median
18	1285076240	$1K	$39.39	0.9× median	Below Median
19	1881949055	$1K	$47.95	1.1× median	Above Median
20	1992133474	$1K	$93.82	2.2× median	Above 75th

Showing top 20 of 31 providers billing this code

Related Procedures

01922$55.0M 01920$469K 01916$419K 01930$340K 01926$322K

← All procedures Top providers →