94619
HCPCS Procedure Code
HCPCS code 94619 is the #6,394 most-billed Medicaid procedure code, with $69K in payments across 823 claims from 2018–2024. The national median cost per claim is $39.60. Costs vary widely — the 90th percentile is $101.39 per claim, 2.6× the median.
Total Paid
$69K
0.00% of all spending
Total Claims
823
Providers
4
Avg Cost/Claim
$84
National Cost Distribution
How much do providers bill per claim for 94619? Based on 3 providers billing this code nationally.
Median
$39.60
Average
$52.42
Std Dev
$59.05
Max
$116.83
Percentile Distribution (Cost per Claim)
50% of providers bill between $20.22 and $78.22 per claim for this code.
90% bill between $8.59 and $101.39.
Top 1% bill above $115.29.
About This Procedure
HCPCS code 94619 was billed by 4 providers across 823 claims, totaling $69K in Medicaid payments from 2018–2024. This code was used for 652 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$39.60
Providers Billing
3
National Spending
$69K
Avg/Median Ratio
1.32×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.