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#5433 of 11K

W1894

HCPCS Procedure Code

HCPCS code W1894 is the #5,433 most-billed Medicaid procedure code, with $199K in payments across 6,709 claims from 2018–2024. The national median cost per claim is $29.80.

Total Paid

$199K

0.00% of all spending

Total Claims

6,709

Providers

4

Avg Cost/Claim

$30

National Cost Distribution

How much do providers bill per claim for W1894? Based on 4 providers billing this code nationally.

Median

$29.80

Average

$29.71

Std Dev

$0.28

Max

$29.94

Percentile Distribution (Cost per Claim)

p10
$29.45
p25
$29.67
Median
$29.80
p75
$29.84
p90
$29.90
p95
$29.92
p99
$29.94

50% of providers bill between $29.67 and $29.84 per claim for this code.

90% bill between $29.45 and $29.90.

Top 1% bill above $29.94.

About This Procedure

HCPCS code W1894 was billed by 4 providers across 6,709 claims, totaling $199K in Medicaid payments from 2018–2024. This code was used for 6,544 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$29.80

Providers Billing

4

National Spending

$199K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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