00190
HCPCS Procedure Code
HCPCS code 00190 is the #5,865 most-billed Medicaid procedure code, with $127K in payments across 2K claims from 2018–2024. The national median cost per claim is $70.95.
Total Paid
$127K
0.00% of all spending
Total Claims
2K
Providers
7
Avg Cost/Claim
$76
National Cost Distribution
How much do providers bill per claim for 00190? Based on 5 providers billing this code nationally.
Median
$70.95
Average
$65.75
Std Dev
$33.32
Max
$99.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $63.47 and $83.12 per claim for this code.
90% bill between $32.25 and $93.11.
Top 1% bill above $99.10.
About This Procedure
HCPCS code 00190 was billed by 7 providers across 2K claims, totaling $127K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$70.95
Providers Billing
5
National Spending
$127K
Avg/Median Ratio
0.93×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 00190
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1093767766 | $83K |
| 2 | 1871986372 | $26K |
| 3 | 1528010428 | $17K |
| 4 | University Of Cincinnati Medical Center, Llc Cincinnati, OH · General Acute Care Hospital | $1K |
| 5 | 1669581997 | $997 |
| 6 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $0 |
| 7 | 1104837046 | $0 |
Showing top 7 of 7 providers billing this code