C1769
HCPCS Procedure Code
HCPCS code C1769 is the #1,462 most-billed Medicaid procedure code, with $22.5M in payments across 1.3M claims from 2018–2024. The national median cost per claim is $7.55. Costs vary widely — the 90th percentile is $66.22 per claim, 8.8× the median.
Total Paid
$22.5M
0.00% of all spending
Total Claims
1.3M
Providers
1K
Avg Cost/Claim
$18
National Cost Distribution
How much do providers bill per claim for C1769? Based on 774 providers billing this code nationally.
Median
$7.55
Average
$25.39
Std Dev
$48.97
Max
$623.69
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.00 and $28.30 per claim for this code.
90% bill between $0.10 and $66.22.
Top 1% bill above $221.39.
About This Procedure
HCPCS code C1769 was billed by 1K providers across 1.3M claims, totaling $22.5M in Medicaid payments from 2018–2024. This code was used for 1.1M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.55
Providers Billing
774
National Spending
$22.5M
Avg/Median Ratio
3.36×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for C1769
| # | Provider | Total Paid |
|---|---|---|
| 1 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $1.3M |
| 2 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $860K |
| 3 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $684K |
| 4 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $634K |
| 5 | Owensboro Health Inc Owensboro, KY · General Acute Care Hospital | $485K |
| 6 | 1477616571 | $434K |
| 7 | 1538244918 | $432K |
| 8 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $414K |
| 9 | 1366459570 | $404K |
| 10 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $385K |
| 11 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $379K |
| 12 | Providence Health & Services Washington Anchorage, AK · General Acute Care Hospital | $373K |
| 13 | 1043293608 | $367K |
| 14 | Banner - University Medical Center Tucson Campus Llc Tucson, AZ · Clinic/Center, Multi-Specialty | $364K |
| 15 | 1437150984 | $360K |
| 16 | Nyu Langone Hospitals Brooklyn, NY · General Acute Care Hospital | $338K |
| 17 | St. Mary's Medical Center Inc Huntington, WV · General Acute Care Hospital | $337K |
| 18 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $288K |
| 19 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $274K |
| 20 | 1407877137 | $258K |
Showing top 20 of 1K providers billing this code