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#8380 of 11K

4019F

HCPCS Procedure Code

HCPCS code 4019F is the #8,380 most-billed Medicaid procedure code, with $3K in payments across 28K claims from 2018–2024. The national median cost per claim is $3.65. Costs vary widely — the 90th percentile is $11.24 per claim, 3.1× the median.

Total Paid

$3K

0.00% of all spending

Total Claims

28K

Providers

52

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 4019F? Based on 4 providers billing this code nationally.

Median

$3.65

Average

$5.42

Std Dev

$6.21

Max

$14.36

Percentile Distribution (Cost per Claim)

p10
$1.01
p25
$2.51
Median
$3.65
p75
$6.56
p90
$11.24
p95
$12.80
p99
$14.04

50% of providers bill between $2.51 and $6.56 per claim for this code.

90% bill between $1.01 and $11.24.

Top 1% bill above $14.04.

About This Procedure

HCPCS code 4019F was billed by 52 providers across 28K claims, totaling $3K in Medicaid payments from 2018–2024. This code was used for 23K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.65

Providers Billing

4

National Spending

$3K

Avg/Median Ratio

1.48×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 4019F

#ProviderTotal Paid
11245329176$2K
21699034827$600
3Neighborhood Health Center Of Wny Inc.

Buffalo, NY · Obstetrics & Gynecology

$297
41083119705$0
51669423497$0
61730121179$0
71003970948$0
81699734970$0
91811107212$0
101528097730$0
111164432506$0
121225568330$0
131033395397$0
141184737405$0
151740287143$0
161619089216$0
171689722340$0
181609850940$0
191942737200$0
201477725083$0

Showing top 20 of 52 providers billing this code