01991
HCPCS Procedure Code
HCPCS code 01991 is the #4,644 most-billed Medicaid procedure code, with $473K in payments across 11K claims from 2018–2024. The national median cost per claim is $37.64.
Total Paid
$473K
0.00% of all spending
Total Claims
11K
Providers
52
Avg Cost/Claim
$41
National Cost Distribution
How much do providers bill per claim for 01991? Based on 52 providers billing this code nationally.
Median
$37.64
Average
$41.56
Std Dev
$26.91
Max
$125.05
Percentile Distribution (Cost per Claim)
50% of providers bill between $20.22 and $60.80 per claim for this code.
90% bill between $12.83 and $74.82.
Top 1% bill above $110.62.
About This Procedure
HCPCS code 01991 was billed by 52 providers across 11K claims, totaling $473K in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$37.64
Providers Billing
52
National Spending
$473K
Avg/Median Ratio
1.10×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 01991
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1619278439 | $98K |
| 2 | 1740610039 | $89K |
| 3 | 1558314427 | $65K |
| 4 | 1700030939 | $28K |
| 5 | 1508285776 | $25K |
| 6 | 1932264439 | $19K |
| 7 | 1508996653 | $15K |
| 8 | 1821589144 | $9K |
| 9 | 1740232321 | $8K |
| 10 | 1639110406 | $8K |
| 11 | 1790384071 | $7K |
| 12 | 1922161470 | $7K |
| 13 | 1245623834 | $7K |
| 14 | 1821654666 | $7K |
| 15 | 1487019246 | $6K |
| 16 | 1992703557 | $6K |
| 17 | 1427230788 | $6K |
| 18 | 1912387432 | $6K |
| 19 | 1336358571 | $5K |
| 20 | 1396798773 | $5K |
Showing top 20 of 52 providers billing this code