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#4992 of 11K

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)

p10
$32.41
p25
$35.67
Median
$47.99
p75
$58.09
p90
$83.25
p95
$111.06
p99
$279.50

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

#ProviderTotal Paid
11972126209$81K
21871986372$51K
31225016926$37K
41669581997$35K
51487609475$29K
61558314427$24K
71417994872$18K
81497797153$11K
91164848453$8K
101295776052$7K
111053366377$5K
121053354233$4K
131326145517$3K
14William Beaumont Hospital

Royal Oak, MI · Internal Medicine, Cardiovascular Disease

$3K
151235151002$2K
161003989690$1K
171811997869$1K
181124248752$790
19Orlando Health Inc.

Orlando, FL · General Acute Care Hospital

$552
20Summa Health System

Akron, OH · General Acute Care Hospital

$495

Showing top 20 of 26 providers billing this code