01966
HCPCS Procedure Code
HCPCS code 01966 is the #2,573 most-billed Medicaid procedure code, with $4.9M in payments across 56K claims from 2018–2024. The national median cost per claim is $80.99. Costs vary widely — the 90th percentile is $757.21 per claim, 9.3× the median.
Total Paid
$4.9M
0.00% of all spending
Total Claims
56K
Providers
54
Avg Cost/Claim
$88
National Cost Distribution
How much do providers bill per claim for 01966? Based on 53 providers billing this code nationally.
Median
$80.99
Average
$187.16
Std Dev
$300.83
Max
$1,073.84
Percentile Distribution (Cost per Claim)
50% of providers bill between $44.96 and $116.90 per claim for this code.
90% bill between $34.79 and $757.21.
Top 1% bill above $1,063.22.
About This Procedure
HCPCS code 01966 was billed by 54 providers across 56K claims, totaling $4.9M in Medicaid payments from 2018–2024. This code was used for 52K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$80.99
Providers Billing
53
National Spending
$4.9M
Avg/Median Ratio
2.31×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 01966
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1164848453 | $1.3M |
| 2 | 1720210883 | $589K |
| 3 | 1609897834 | $545K |
| 4 | 1851523799 | $414K |
| 5 | 1225229743 | $342K |
| 6 | 1497733760 | $300K |
| 7 | 1306909767 | $191K |
| 8 | 1053351973 | $160K |
| 9 | 1568533750 | $154K |
| 10 | 1760544837 | $85K |
| 11 | 1487749495 | $79K |
| 12 | 1043298318 | $72K |
| 13 | 1902512049 | $67K |
| 14 | 1073804795 | $67K |
| 15 | 1609806488 | $57K |
| 16 | Yale University New Haven, CT · Internal Medicine | $48K |
| 17 | 1669607123 | $44K |
| 18 | 1689140626 | $43K |
| 19 | 1235206475 | $38K |
| 20 | 1043304769 | $36K |
Showing top 20 of 54 providers billing this code