01926
HCPCS Procedure Code
HCPCS code 01926 is the #5,005 most-billed Medicaid procedure code, with $322K in payments across 2K claims from 2018–2024. The national median cost per claim is $153.13. Costs vary widely — the 90th percentile is $391.84 per claim, 2.6× the median.
Total Paid
$322K
0.00% of all spending
Total Claims
2K
Providers
17
Avg Cost/Claim
$144
National Cost Distribution
How much do providers bill per claim for 01926? Based on 16 providers billing this code nationally.
Median
$153.13
Average
$192.76
Std Dev
$148.33
Max
$544.76
Percentile Distribution (Cost per Claim)
50% of providers bill between $118.33 and $232.49 per claim for this code.
90% bill between $38.20 and $391.84.
Top 1% bill above $526.79.
About This Procedure
HCPCS code 01926 was billed by 17 providers across 2K claims, totaling $322K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$153.13
Providers Billing
16
National Spending
$322K
Avg/Median Ratio
1.26×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 01926
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1093767766 | $86K |
| 2 | 1225016926 | $60K |
| 3 | 1528010428 | $40K |
| 4 | 1376741918 | $38K |
| 5 | 1346706173 | $31K |
| 6 | 1477068971 | $22K |
| 7 | 1710324041 | $15K |
| 8 | 1346267267 | $9K |
| 9 | 1720087802 | $5K |
| 10 | 1346649415 | $5K |
| 11 | 1003989690 | $4K |
| 12 | 1427093863 | $2K |
| 13 | Ochsner Clinic Llc New Orleans, LA · Surgery | $2K |
| 14 | 1457666828 | $2K |
| 15 | 1023529591 | $488 |
| 16 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $445 |
| 17 | 1780667923 | $0 |
Showing top 17 of 17 providers billing this code