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#4403 of 11K

K0019

HCPCS Procedure Code

HCPCS code K0019 is the #4,403 most-billed Medicaid procedure code, with $610K in payments across 45K claims from 2018–2024. The national median cost per claim is $11.47.

Total Paid

$610K

0.00% of all spending

Total Claims

45K

Providers

108

Avg Cost/Claim

$14

National Cost Distribution

How much do providers bill per claim for K0019? Based on 108 providers billing this code nationally.

Median

$11.47

Average

$12.32

Std Dev

$6.83

Max

$42.86

Percentile Distribution (Cost per Claim)

p10
$4.38
p25
$8.24
Median
$11.47
p75
$15.31
p90
$19.75
p95
$25.98
p99
$30.25

50% of providers bill between $8.24 and $15.31 per claim for this code.

90% bill between $4.38 and $19.75.

Top 1% bill above $30.25.

About This Procedure

HCPCS code K0019 was billed by 108 providers across 45K claims, totaling $610K in Medicaid payments from 2018–2024. This code was used for 36K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.47

Providers Billing

108

National Spending

$610K

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for K0019

#ProviderTotal Paid
11215933791$51K
21487624193$42K
31932484979$34K
41003052598$33K
51841263621$33K
61003889684$32K
71043209794$28K
81538576509$25K
91780758219$24K
101184883472$24K
111679546519$19K
121578531356$17K
131346588225$16K
141972573137$16K
151518231547$15K
161922172519$12K
171912987132$11K
181417927997$10K
191912978669$10K
201144458209$9K

Showing top 20 of 108 providers billing this code