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#3123 of 11K

0193

HCPCS Procedure Code

HCPCS code 0193 is the #3,123 most-billed Medicaid procedure code, with $2.4M in payments across 469 claims from 2018–2024. The national median cost per claim is $5,673.36.

Total Paid

$2.4M

0.00% of all spending

Total Claims

469

Providers

2

Avg Cost/Claim

$5K

National Cost Distribution

How much do providers bill per claim for 0193? Based on 2 providers billing this code nationally.

Median

$5,673.36

Average

$5,673.36

Std Dev

$699.33

Max

$6,167.86

Percentile Distribution (Cost per Claim)

p10
$5,277.76
p25
$5,426.11
Median
$5,673.36
p75
$5,920.61
p90
$6,068.96
p95
$6,118.41
p99
$6,157.97

50% of providers bill between $5,426.11 and $5,920.61 per claim for this code.

90% bill between $5,277.76 and $6,068.96.

Top 1% bill above $6,157.97.

About This Procedure

HCPCS code 0193 was billed by 2 providers across 469 claims, totaling $2.4M in Medicaid payments from 2018–2024. This code was used for 434 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5,673.36

Providers Billing

2

National Spending

$2.4M

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.