91319
HCPCS Procedure Code
HCPCS code 91319 is the #4,462 most-billed Medicaid procedure code, with $575K in payments across 34K claims from 2018–2024. The national median cost per claim is $13.50. Costs vary widely — the 90th percentile is $65.84 per claim, 4.9× the median.
Total Paid
$575K
0.00% of all spending
Total Claims
34K
Providers
359
Avg Cost/Claim
$17
National Cost Distribution
How much do providers bill per claim for 91319? Based on 191 providers billing this code nationally.
Median
$13.50
Average
$25.78
Std Dev
$51.78
Max
$654.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.71 and $36.12 per claim for this code.
90% bill between $0.13 and $65.84.
Top 1% bill above $88.58.
About This Procedure
HCPCS code 91319 was billed by 359 providers across 34K claims, totaling $575K in Medicaid payments from 2018–2024. This code was used for 32K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.50
Providers Billing
191
National Spending
$575K
Avg/Median Ratio
1.91×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 91319
| # | Provider | Total Paid |
|---|---|---|
| 1 | Permanente Medical Group Inc Stockton, CA · Anesthesiology | $80K |
| 2 | Permanente Medical Group Inc Richmond, CA · Internal Medicine | $45K |
| 3 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $38K |
| 4 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $34K |
| 5 | Permanente Medical Group Inc Santa Clara, CA · Anesthesiology | $22K |
| 6 | Southern California Permanente Medical Group San Diego, CA · Health Maintenance Organization | $22K |
| 7 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $20K |
| 8 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $19K |
| 9 | Kaiser Foundation Health Plan Of The Northwest Portland, OR · General Practice | $18K |
| 10 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $17K |
| 11 | Permanente Medical Group Inc Vallejo, CA · Anesthesiology | $15K |
| 12 | Southern California Permanente Medical Group Anaheim, CA · Health Maintenance Organization | $14K |
| 13 | Southern California Permanente Medical Group Los Angeles, CA · Health Maintenance Organization | $13K |
| 14 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $13K |
| 15 | Dhhs Phs Naihs Shiprock Hospital Shiprock, NM · General Acute Care Hospital | $12K |
| 16 | 1841200664 | $12K |
| 17 | 1235253485 | $8K |
| 18 | 1386911691 | $7K |
| 19 | 1184788291 | $7K |
| 20 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $7K |
Showing top 20 of 359 providers billing this code