01930
HCPCS Procedure Code
HCPCS code 01930 is the #4,957 most-billed Medicaid procedure code, with $340K in payments across 4K claims from 2018–2024. The national median cost per claim is $69.09. Costs vary widely — the 90th percentile is $143.45 per claim, 2.1× the median.
Total Paid
$340K
0.00% of all spending
Total Claims
4K
Providers
21
Avg Cost/Claim
$82
National Cost Distribution
How much do providers bill per claim for 01930? Based on 21 providers billing this code nationally.
Median
$69.09
Average
$88.45
Std Dev
$85.50
Max
$400.37
Percentile Distribution (Cost per Claim)
50% of providers bill between $33.54 and $122.00 per claim for this code.
90% bill between $12.82 and $143.45.
Top 1% bill above $352.13.
About This Procedure
HCPCS code 01930 was billed by 21 providers across 4K claims, totaling $340K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$69.09
Providers Billing
21
National Spending
$340K
Avg/Median Ratio
1.28×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 01930
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1114132370 | $70K |
| 2 | 1023301561 | $69K |
| 3 | 1265746978 | $60K |
| 4 | 1891235404 | $59K |
| 5 | 1134570153 | $22K |
| 6 | 1336530997 | $11K |
| 7 | 1093767766 | $9K |
| 8 | 1093908022 | $9K |
| 9 | 1083258362 | $7K |
| 10 | 1881949055 | $6K |
| 11 | 1518912302 | $5K |
| 12 | 1154368769 | $3K |
| 13 | 1720543762 | $3K |
| 14 | 1104122191 | $1K |
| 15 | 1033492855 | $1K |
| 16 | 1396771481 | $1K |
| 17 | 1902991169 | $998 |
| 18 | 1841427747 | $899 |
| 19 | 1508133497 | $840 |
| 20 | 1558585380 | $590 |
Showing top 20 of 21 providers billing this code