01942
HCPCS Procedure Code
HCPCS code 01942 is the #7,888 most-billed Medicaid procedure code, with $9K in payments across 82 claims from 2018–2024. The national median cost per claim is $123.14.
Total Paid
$9K
0.00% of all spending
Total Claims
82
Providers
4
Avg Cost/Claim
$105
National Cost Distribution
How much do providers bill per claim for 01942? Based on 4 providers billing this code nationally.
Median
$123.14
Average
$105.85
Std Dev
$64.21
Max
$160.12
Percentile Distribution (Cost per Claim)
50% of providers bill between $80.41 and $148.58 per claim for this code.
90% bill between $42.37 and $155.50.
Top 1% bill above $159.66.
About This Procedure
HCPCS code 01942 was billed by 4 providers across 82 claims, totaling $9K in Medicaid payments from 2018–2024. This code was used for 67 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$123.14
Providers Billing
4
National Spending
$9K
Avg/Median Ratio
0.86×
Normal distribution
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.