0191T
HCPCS Procedure Code
HCPCS code 0191T is the #6,732 most-billed Medicaid procedure code, with $46K in payments across 392 claims from 2018–2024. The national median cost per claim is $110.73. Costs vary widely — the 90th percentile is $325.30 per claim, 2.9× the median.
Total Paid
$46K
0.00% of all spending
Total Claims
392
Providers
5
Avg Cost/Claim
$116
National Cost Distribution
How much do providers bill per claim for 0191T? Based on 5 providers billing this code nationally.
Median
$110.73
Average
$181.80
Std Dev
$149.16
Max
$447.03
Percentile Distribution (Cost per Claim)
50% of providers bill between $109.36 and $142.71 per claim for this code.
90% bill between $103.25 and $325.30.
Top 1% bill above $434.86.
About This Procedure
HCPCS code 0191T was billed by 5 providers across 392 claims, totaling $46K in Medicaid payments from 2018–2024. This code was used for 306 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$110.73
Providers Billing
5
National Spending
$46K
Avg/Median Ratio
1.64×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 0191T
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1649218009 | $27K |
| 2 | 1679728901 | $7K |
| 3 | 1639177751 | $6K |
| 4 | 1851305817 | $3K |
| 5 | 1114202892 | $2K |
Showing top 5 of 5 providers billing this code