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#4225 of 11K

0119

HCPCS Procedure Code

HCPCS code 0119 is the #4,225 most-billed Medicaid procedure code, with $737K in payments across 478 claims from 2018–2024. The national median cost per claim is $1,824.24.

Total Paid

$737K

0.00% of all spending

Total Claims

478

Providers

3

Avg Cost/Claim

$2K

National Cost Distribution

How much do providers bill per claim for 0119? Based on 3 providers billing this code nationally.

Median

$1,824.24

Average

$1,963.13

Std Dev

$776.79

Max

$2,800.00

Percentile Distribution (Cost per Claim)

p10
$1,376.97
p25
$1,544.70
Median
$1,824.24
p75
$2,312.12
p90
$2,604.85
p95
$2,702.42
p99
$2,780.48

50% of providers bill between $1,544.70 and $2,312.12 per claim for this code.

90% bill between $1,376.97 and $2,604.85.

Top 1% bill above $2,780.48.

About This Procedure

HCPCS code 0119 was billed by 3 providers across 478 claims, totaling $737K in Medicaid payments from 2018–2024. This code was used for 440 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,824.24

Providers Billing

3

National Spending

$737K

Avg/Median Ratio

1.08×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.