19499
HCPCS Procedure Code
HCPCS code 19499 is the #4,501 most-billed Medicaid procedure code, with $546K in payments across 1,865 claims from 2018–2024. The national median cost per claim is $268.57. Costs vary widely — the 90th percentile is $1,134.32 per claim, 4.2× the median.
Total Paid
$546K
0.00% of all spending
Total Claims
1,865
Providers
9
Avg Cost/Claim
$293
National Cost Distribution
How much do providers bill per claim for 19499? Based on 6 providers billing this code nationally.
Median
$268.57
Average
$489.23
Std Dev
$555.66
Max
$1,474.42
Percentile Distribution (Cost per Claim)
50% of providers bill between $131.68 and $685.89 per claim for this code.
90% bill between $64.78 and $1,134.32.
Top 1% bill above $1,440.41.
About This Procedure
HCPCS code 19499 was billed by 9 providers across 1,865 claims, totaling $546K in Medicaid payments from 2018–2024. This code was used for 1,242 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$268.57
Providers Billing
6
National Spending
$546K
Avg/Median Ratio
1.82×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 19499
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1407850738 | $334K |
| 2 | 1033183603 | $113K |
| 3 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $75K |
| 4 | Maimonides Medical Center Brooklyn, NY · General Acute Care Hospital | $19K |
| 5 | 1023095072 | $4K |
| 6 | 1558356493 | $1K |
| 7 | 1750329603 | $0 |
| 8 | 1396799417 | $0 |
| 9 | La Maestra Family Clinic, Inc. San Diego, CA · Clinic/Center, Federally Qualified Health Center (FQHC) | $0 |
Showing top 9 of 9 providers billing this code