C1759
HCPCS Procedure Code
HCPCS code C1759 is the #6,067 most-billed Medicaid procedure code, with $99K in payments across 316 claims from 2018–2024. The national median cost per claim is $435.87. Costs vary widely — the 90th percentile is $3,159.31 per claim, 7.2× the median.
Total Paid
$99K
0.00% of all spending
Total Claims
316
Providers
10
Avg Cost/Claim
$314
National Cost Distribution
How much do providers bill per claim for C1759? Based on 3 providers billing this code nationally.
Median
$435.87
Average
$1,460.36
Std Dev
$2,067.60
Max
$3,840.17
Percentile Distribution (Cost per Claim)
50% of providers bill between $270.46 and $2,138.02 per claim for this code.
90% bill between $171.21 and $3,159.31.
Top 1% bill above $3,772.09.
About This Procedure
HCPCS code C1759 was billed by 10 providers across 316 claims, totaling $99K in Medicaid payments from 2018–2024. This code was used for 288 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$435.87
Providers Billing
3
National Spending
$99K
Avg/Median Ratio
3.35×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for C1759
| # | Provider | Total Paid |
|---|---|---|
| 1 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $54K |
| 2 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $43K |
| 3 | 1306914213 | $3K |
| 4 | Inova Health Care Services Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder | $0 |
| 5 | Mainehealth Portland, ME · Emergency Medicine | $0 |
| 6 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $0 |
| 7 | Banner - University Medical Center Phoenix Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic | $0 |
| 8 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $0 |
| 9 | Tucson Medical Center Tucson, AZ · Clinic/Center, Hearing and Speech | $0 |
| 10 | University Of Washington Seattle, WA · Clinic/Center, Dental | $0 |
Showing top 10 of 10 providers billing this code