01937
HCPCS Procedure Code
HCPCS code 01937 is the #4,745 most-billed Medicaid procedure code, with $423K in payments across 8K claims from 2018–2024. The national median cost per claim is $46.39.
Total Paid
$423K
0.00% of all spending
Total Claims
8K
Providers
48
Avg Cost/Claim
$51
National Cost Distribution
How much do providers bill per claim for 01937? Based on 47 providers billing this code nationally.
Median
$46.39
Average
$52.01
Std Dev
$37.44
Max
$219.18
Percentile Distribution (Cost per Claim)
50% of providers bill between $29.10 and $69.40 per claim for this code.
90% bill between $13.72 and $91.48.
Top 1% bill above $170.01.
About This Procedure
HCPCS code 01937 was billed by 48 providers across 8K claims, totaling $423K in Medicaid payments from 2018–2024. This code was used for 7K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$46.39
Providers Billing
47
National Spending
$423K
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 01937
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1265435416 | $55K |
| 2 | 1790920452 | $44K |
| 3 | 1063880052 | $44K |
| 4 | 1508285776 | $35K |
| 5 | 1245623834 | $28K |
| 6 | 1982914370 | $26K |
| 7 | 1952775975 | $23K |
| 8 | 1740403658 | $19K |
| 9 | 1619278439 | $18K |
| 10 | 1336528926 | $12K |
| 11 | 1336530997 | $11K |
| 12 | 1710110499 | $10K |
| 13 | 1700030939 | $9K |
| 14 | 1932264439 | $9K |
| 15 | 1447207147 | $8K |
| 16 | 1881986743 | $7K |
| 17 | 1588922413 | $7K |
| 18 | 1629544622 | $6K |
| 19 | 1710683412 | $5K |
| 20 | 1114378874 | $5K |
Showing top 20 of 48 providers billing this code