01965
HCPCS Procedure Code
HCPCS code 01965 is the #4,992 most-billed Medicaid procedure code, with $326K in payments across 7K claims from 2018–2024. The national median cost per claim is $47.99.
Total Paid
$326K
0.00% of all spending
Total Claims
7K
Providers
26
Avg Cost/Claim
$44
National Cost Distribution
How much do providers bill per claim for 01965? Based on 23 providers billing this code nationally.
Median
$47.99
Average
$61.16
Std Dev
$62.39
Max
$326.15
Percentile Distribution (Cost per Claim)
50% of providers bill between $35.67 and $58.09 per claim for this code.
90% bill between $32.41 and $83.25.
Top 1% bill above $279.50.
About This Procedure
HCPCS code 01965 was billed by 26 providers across 7K claims, totaling $326K in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$47.99
Providers Billing
23
National Spending
$326K
Avg/Median Ratio
1.27×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 01965
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1972126209 | $81K |
| 2 | 1871986372 | $51K |
| 3 | 1225016926 | $37K |
| 4 | 1669581997 | $35K |
| 5 | 1487609475 | $29K |
| 6 | 1558314427 | $24K |
| 7 | 1417994872 | $18K |
| 8 | 1497797153 | $11K |
| 9 | 1164848453 | $8K |
| 10 | 1295776052 | $7K |
| 11 | 1053366377 | $5K |
| 12 | 1053354233 | $4K |
| 13 | 1326145517 | $3K |
| 14 | William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease | $3K |
| 15 | 1235151002 | $2K |
| 16 | 1003989690 | $1K |
| 17 | 1811997869 | $1K |
| 18 | 1124248752 | $790 |
| 19 | Orlando Health Inc. Orlando, FL · General Acute Care Hospital | $552 |
| 20 | Summa Health System Akron, OH · General Acute Care Hospital | $495 |
Showing top 20 of 26 providers billing this code