01938
HCPCS Procedure Code
HCPCS code 01938 is the #2,876 most-billed Medicaid procedure code, with $3.2M in payments across 55K claims from 2018–2024. The national median cost per claim is $46.15. Costs vary widely — the 90th percentile is $110.15 per claim, 2.4× the median.
Total Paid
$3.2M
0.00% of all spending
Total Claims
55K
Providers
128
Avg Cost/Claim
$58
National Cost Distribution
How much do providers bill per claim for 01938? Based on 126 providers billing this code nationally.
Median
$46.15
Average
$66.15
Std Dev
$98.85
Max
$947.01
Percentile Distribution (Cost per Claim)
50% of providers bill between $28.31 and $78.61 per claim for this code.
90% bill between $13.67 and $110.15.
Top 1% bill above $482.91.
About This Procedure
HCPCS code 01938 was billed by 128 providers across 55K claims, totaling $3.2M in Medicaid payments from 2018–2024. This code was used for 45K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$46.15
Providers Billing
126
National Spending
$3.2M
Avg/Median Ratio
1.43×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 01938
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1336528926 | $251K |
| 2 | 1710683412 | $212K |
| 3 | 1790920452 | $192K |
| 4 | 1710110499 | $192K |
| 5 | 1265435416 | $180K |
| 6 | 1134478209 | $160K |
| 7 | 1992129365 | $148K |
| 8 | 1336530997 | $139K |
| 9 | 1447207147 | $134K |
| 10 | 1619278439 | $128K |
| 11 | 1063880052 | $122K |
| 12 | 1982914370 | $94K |
| 13 | 1942736285 | $75K |
| 14 | 1700030939 | $75K |
| 15 | 1629544622 | $75K |
| 16 | 1740403658 | $73K |
| 17 | 1952775975 | $68K |
| 18 | 1245623834 | $59K |
| 19 | 1508285776 | $55K |
| 20 | 1114378874 | $42K |
Showing top 20 of 128 providers billing this code