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#7152 of 11K

T1019U4

HCPCS Procedure Code

HCPCS code T1019U4 is the #7,152 most-billed Medicaid procedure code, with $27K in payments across 158 claims from 2018–2024. The national median cost per claim is $143.04.

Total Paid

$27K

0.00% of all spending

Total Claims

158

Providers

2

Avg Cost/Claim

$169

National Cost Distribution

How much do providers bill per claim for T1019U4? Based on 2 providers billing this code nationally.

Median

$143.04

Average

$143.04

Std Dev

$55.62

Max

$182.36

Percentile Distribution (Cost per Claim)

p10
$111.57
p25
$123.37
Median
$143.04
p75
$162.70
p90
$174.50
p95
$178.43
p99
$181.58

50% of providers bill between $123.37 and $162.70 per claim for this code.

90% bill between $111.57 and $174.50.

Top 1% bill above $181.58.

About This Procedure

HCPCS code T1019U4 was billed by 2 providers across 158 claims, totaling $27K in Medicaid payments from 2018–2024. This code was used for 48 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$143.04

Providers Billing

2

National Spending

$27K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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