01960
HCPCS Procedure Code
HCPCS code 01960 is the #5,091 most-billed Medicaid procedure code, with $295K in payments across 3K claims from 2018–2024. The national median cost per claim is $243.97.
Total Paid
$295K
0.00% of all spending
Total Claims
3K
Providers
20
Avg Cost/Claim
$85
National Cost Distribution
How much do providers bill per claim for 01960? Based on 9 providers billing this code nationally.
Median
$243.97
Average
$273.54
Std Dev
$252.17
Max
$879.02
Percentile Distribution (Cost per Claim)
50% of providers bill between $139.55 and $304.94 per claim for this code.
90% bill between $67.00 and $468.86.
Top 1% bill above $838.00.
About This Procedure
HCPCS code 01960 was billed by 20 providers across 3K claims, totaling $295K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$243.97
Providers Billing
9
National Spending
$295K
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 01960
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1295205433 | $143K |
| 2 | 1922497940 | $57K |
| 3 | 1265836068 | $41K |
| 4 | 1902975394 | $20K |
| 5 | 1669499414 | $12K |
| 6 | 1275718637 | $10K |
| 7 | 1255386777 | $6K |
| 8 | 1013966506 | $3K |
| 9 | 1063766038 | $2K |
| 10 | 1861020224 | $0 |
| 11 | 1316962228 | $0 |
| 12 | 1164495065 | $0 |
| 13 | 1457411043 | $0 |
| 14 | 1639372907 | $0 |
| 15 | Southern California Permanente Medical Group Riverside, CA · Health Maintenance Organization | $0 |
| 16 | 1386738045 | $0 |
| 17 | 1851617997 | $0 |
| 18 | 1508830340 | $0 |
| 19 | 1417252537 | $0 |
| 20 | Southern California Permanente Medical Group Anaheim, CA · Health Maintenance Organization | $0 |
Showing top 20 of 20 providers billing this code