01935
HCPCS Procedure Code
HCPCS code 01935 is the #3,939 most-billed Medicaid procedure code, with $998K in payments across 21K claims from 2018–2024. The national median cost per claim is $60.16.
Total Paid
$998K
0.00% of all spending
Total Claims
21K
Providers
38
Avg Cost/Claim
$47
National Cost Distribution
How much do providers bill per claim for 01935? Based on 37 providers billing this code nationally.
Median
$60.16
Average
$65.23
Std Dev
$39.13
Max
$150.28
Percentile Distribution (Cost per Claim)
50% of providers bill between $39.91 and $86.36 per claim for this code.
90% bill between $15.85 and $118.00.
Top 1% bill above $147.75.
About This Procedure
HCPCS code 01935 was billed by 38 providers across 21K claims, totaling $998K in Medicaid payments from 2018–2024. This code was used for 18K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$60.16
Providers Billing
37
National Spending
$998K
Avg/Median Ratio
1.08×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 01935
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1336528926 | $362K |
| 2 | 1265435416 | $112K |
| 3 | 1437470945 | $74K |
| 4 | 1700220993 | $57K |
| 5 | 1447207147 | $50K |
| 6 | 1134570153 | $48K |
| 7 | 1154826873 | $48K |
| 8 | 1679708804 | $43K |
| 9 | 1043279599 | $34K |
| 10 | 1821654666 | $25K |
| 11 | 1700030939 | $16K |
| 12 | 1003238395 | $15K |
| 13 | 1689816365 | $13K |
| 14 | 1316333115 | $12K |
| 15 | 1861450579 | $11K |
| 16 | 1447894746 | $11K |
| 17 | 1790384071 | $10K |
| 18 | 1689800419 | $9K |
| 19 | 1104102268 | $8K |
| 20 | 1245623834 | $8K |
Showing top 20 of 38 providers billing this code