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#3635 of 11K

19301

HCPCS Procedure Code

HCPCS code 19301 is the #3,635 most-billed Medicaid procedure code, with $1.4M in payments across 765 claims from 2018–2024. The national median cost per claim is $982.44. Costs vary widely — the 90th percentile is $2,348.05 per claim, 2.4× the median.

Total Paid

$1.4M

0.00% of all spending

Total Claims

765

Providers

15

Avg Cost/Claim

$2K

National Cost Distribution

How much do providers bill per claim for 19301? Based on 15 providers billing this code nationally.

Median

$982.44

Average

$1,179.42

Std Dev

$933.25

Max

$2,427.73

Percentile Distribution (Cost per Claim)

p10
$215.19
p25
$345.32
Median
$982.44
p75
$2,175.39
p90
$2,348.05
p95
$2,375.90
p99
$2,417.36

50% of providers bill between $345.32 and $2,175.39 per claim for this code.

90% bill between $215.19 and $2,348.05.

Top 1% bill above $2,417.36.

About This Procedure

HCPCS code 19301 was billed by 15 providers across 765 claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 730 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$982.44

Providers Billing

15

National Spending

$1.4M

Avg/Median Ratio

1.20×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 19301

#ProviderTotal Paid
1The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$379K
2Maimonides Medical Center

Brooklyn, NY · General Acute Care Hospital

$370K
3Memorial Hospital For Cancer And Allied Diseases

New York, NY · Pharmacy

$325K
4Newyork-presbyterian-queens

Flushing, NY · General Acute Care Hospital

$132K
5Long Island Jewish Medical Center

New Hyde Park, NY · General Acute Care Hospital

$81K
6The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$28K
7Saint Mary's Hospital, Inc.

Waterbury, CT · General Acute Care Hospital

$26K
8Hartford Hospital

Hartford, CT · General Acute Care Hospital

$15K
91790899383$13K
10The Cooper Health System

Camden, NJ · General Acute Care Hospital

$10K
11County Of Ventura

Ventura, CA · Clinic/Center, Emergency Care

$5K
121114022431$5K
131821098286$4K
14Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$4K
15Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$2K

Showing top 15 of 15 providers billing this code

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