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#7379 of 11K

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)

p10
$9.99
p25
$23.33
Median
$45.56
p75
$137.83
p90
$193.19
p95
$211.64
p99
$226.41

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.

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