Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#4496 of 11K

19281

HCPCS Procedure Code

HCPCS code 19281 is the #4,496 most-billed Medicaid procedure code, with $548K in payments across 717 claims from 2018–2024. The national median cost per claim is $705.98.

Total Paid

$548K

0.00% of all spending

Total Claims

717

Providers

10

Avg Cost/Claim

$765

National Cost Distribution

How much do providers bill per claim for 19281? Based on 9 providers billing this code nationally.

Median

$705.98

Average

$590.65

Std Dev

$523.28

Max

$1,423.20

Percentile Distribution (Cost per Claim)

p10
$26.82
p25
$89.71
Median
$705.98
p75
$966.83
p90
$1,107.65
p95
$1,265.42
p99
$1,391.64

50% of providers bill between $89.71 and $966.83 per claim for this code.

90% bill between $26.82 and $1,107.65.

Top 1% bill above $1,391.64.

About This Procedure

HCPCS code 19281 was billed by 10 providers across 717 claims, totaling $548K in Medicaid payments from 2018–2024. This code was used for 611 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$705.98

Providers Billing

9

National Spending

$548K

Avg/Median Ratio

0.84×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 19281

#ProviderTotal Paid
1Newyork-presbyterian-queens

Flushing, NY · General Acute Care Hospital

$314K
2Memorial Hospital For Cancer And Allied Diseases

New York, NY · Pharmacy

$122K
3Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$70K
41366459570$26K
5Beth Israel Medical Center

Brooklyn, NY · Psychiatric Unit

$9K
61568403111$3K
7Montefiore Medical Center

Bronx, NY · Anesthesiology

$2K
81265529101$1K
91558523316$464
10Hartford Hospital

Hartford, CT · General Acute Care Hospital

$0

Showing top 10 of 10 providers billing this code

Related Procedures