#2104 of 11K

59841

HCPCS Procedure Code

HCPCS code 59841 is the #2,104 most-billed Medicaid procedure code, with $8.9M in payments across 18K claims from 2018–2024. The national median cost per claim is $331.87. Costs vary widely — the 90th percentile is $831.73 per claim, 2.5× the median.

Total Paid

$8.9M

0.00% of all spending

Total Claims

18K

Providers

Avg Cost/Claim

$495

National Cost Distribution

How much do providers bill per claim for 59841? Based on 58 providers billing this code nationally.

Median

$331.87

Average

$421.58

Std Dev

$310.77

Max

$1,538.22

Percentile Distribution (Cost per Claim)

p10

$69.26

p25

$226.21

Median

$331.87

p75

$609.11

p90

$831.73

p95

$932.53

p99

$1,320.67

50% of providers bill between $226.21 and $609.11 per claim for this code.

90% bill between $69.26 and $831.73.

Top 1% bill above $1,320.67.

About This Procedure

HCPCS code 59841 was billed by 65 providers across 18K claims, totaling $8.9M in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$331.87

Providers Billing

National Spending

$8.9M

Avg/Median Ratio

1.27×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 59841

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1427003904	$3.2M	$902.48	2.7× median	Top 10%
2	1417959701	$1.6M	$797.92	2.4× median	Above 75th
3	University Of Rochester Rochester, NY · General Acute Care Hospital	$886K	$894.76	2.7× median	Top 10%
4	Bronxcare Health System Bronx, NY · General Acute Care Hospital	$751K	$1,156.54	3.5× median	Top 10%
5	1164848453	$363K	$628.29	1.9× median	Above 75th
6	1194832949	$262K	$575.56	1.7× median	Above Median
7	Planned Parenthood/orange And San Bernardino Counties, Inc. Orange, CA · Clinic/Center, Ambulatory Family Planning Facility	$238K	$234.95	0.7× median	Below Median
8	1063489839	$203K	$335.30	1.0× median	Above Median
9	1447700596	$170K	$181.90	0.5× median	Below Median
10	New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine	$140K	$563.09	1.7× median	Above Median
11	1134297179	$131K	$383.06	1.2× median	Above Median
12	1285873166	$96K	$403.67	1.2× median	Above Median
13	1750399218	$84K	$237.36	0.7× median	Below Median
14	University Of California Irvine Orange, CA · General Acute Care Hospital	$78K	$1,538.22	4.6× median	Top 1%
15	1497780480	$65K	$551.82	1.7× median	Above Median
16	1407987548	$65K	$406.91	1.2× median	Above Median
17	1336174325	$53K	$480.81	1.4× median	Above Median
18	Montefiore Medical Center Bronx, NY · General Acute Care Hospital	$43K	$857.28	2.6× median	Top 10%
19	1891760492	$38K	$242.30	0.7× median	Below Median
20	City & County Of San Francisco San Francisco, CA · Case Manager/Care Coordinator	$28K	$49.05	0.1× median	Below Median

Showing top 20 of 65 providers billing this code

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