0191
HCPCS Procedure Code
HCPCS code 0191 is the #5,747 most-billed Medicaid procedure code, with $146K in payments across 35 claims from 2018–2024. The national median cost per claim is $4,405.35.
Total Paid
$146K
0.00% of all spending
Total Claims
35
Providers
2
Avg Cost/Claim
$4K
National Cost Distribution
How much do providers bill per claim for 0191? Based on 2 providers billing this code nationally.
Median
$4,405.35
Average
$4,405.35
Std Dev
$4,036.21
Max
$7,259.38
Percentile Distribution (Cost per Claim)
50% of providers bill between $2,978.33 and $5,832.36 per claim for this code.
90% bill between $2,122.12 and $6,688.57.
Top 1% bill above $7,202.29.
About This Procedure
HCPCS code 0191 was billed by 2 providers across 35 claims, totaling $146K in Medicaid payments from 2018–2024. This code was used for 25 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4,405.35
Providers Billing
2
National Spending
$146K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.