19285
HCPCS Procedure Code
HCPCS code 19285 is the #7,379 most-billed Medicaid procedure code, with $19K in payments across 463 claims from 2018–2024. The national median cost per claim is $45.56. Costs vary widely — the 90th percentile is $193.19 per claim, 4.2× the median.
Total Paid
$19K
0.00% of all spending
Total Claims
463
Providers
3
Avg Cost/Claim
$42
National Cost Distribution
How much do providers bill per claim for 19285? Based on 3 providers billing this code nationally.
Median
$45.56
Average
$92.25
Std Dev
$121.43
Max
$230.10
Percentile Distribution (Cost per Claim)
50% of providers bill between $23.33 and $137.83 per claim for this code.
90% bill between $9.99 and $193.19.
Top 1% bill above $226.41.
About This Procedure
HCPCS code 19285 was billed by 3 providers across 463 claims, totaling $19K in Medicaid payments from 2018–2024. This code was used for 377 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$45.56
Providers Billing
3
National Spending
$19K
Avg/Median Ratio
2.02×
Highly skewed — outlier-driven
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.