0519
HCPCS Procedure Code
HCPCS code 0519 is the #2,776 most-billed Medicaid procedure code, with $3.7M in payments across 71K claims from 2018–2024. The national median cost per claim is $87.02.
Total Paid
$3.7M
0.00% of all spending
Total Claims
71K
Providers
13
Avg Cost/Claim
$52
National Cost Distribution
How much do providers bill per claim for 0519? Based on 10 providers billing this code nationally.
Median
$87.02
Average
$84.84
Std Dev
$30.08
Max
$126.01
Percentile Distribution (Cost per Claim)
50% of providers bill between $72.97 and $105.80 per claim for this code.
90% bill between $45.58 and $112.24.
Top 1% bill above $124.63.
About This Procedure
HCPCS code 0519 was billed by 13 providers across 71K claims, totaling $3.7M in Medicaid payments from 2018–2024. This code was used for 61K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$87.02
Providers Billing
10
National Spending
$3.7M
Avg/Median Ratio
0.97×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0519
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1972503142 | $2.5M |
| 2 | Grossmont Hospital Corporation La Mesa, CA · General Acute Care Hospital | $1.2M |
| 3 | 1336208255 | $24K |
| 4 | Northeast Valley Health Corporation Pacoima, CA · Case Manager/Care Coordinator | $12K |
| 5 | 1396891909 | $8K |
| 6 | 1023287679 | $6K |
| 7 | 1932249596 | $4K |
| 8 | 1588740989 | $4K |
| 9 | Los Angeles Unified School District Los Angeles, CA · Social Worker School | $3K |
| 10 | 1932501996 | $3K |
| 11 | University Of California Irvine Orange, CA · General Acute Care Hospital | $0 |
| 12 | 1508278359 | $0 |
| 13 | 1720271513 | $0 |
Showing top 13 of 13 providers billing this code