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#3569 of 11K

X1915

HCPCS Procedure Code

HCPCS code X1915 is the #3,569 most-billed Medicaid procedure code, with $1.5M in payments across 15K claims from 2018–2024. The national median cost per claim is $85.40.

Total Paid

$1.5M

0.00% of all spending

Total Claims

15K

Providers

19

Avg Cost/Claim

$98

National Cost Distribution

How much do providers bill per claim for X1915? Based on 19 providers billing this code nationally.

Median

$85.40

Average

$99.40

Std Dev

$36.13

Max

$200.67

Percentile Distribution (Cost per Claim)

p10
$74.09
p25
$78.59
Median
$85.40
p75
$103.42
p90
$149.16
p95
$176.91
p99
$195.92

50% of providers bill between $78.59 and $103.42 per claim for this code.

90% bill between $74.09 and $149.16.

Top 1% bill above $195.92.

About This Procedure

HCPCS code X1915 was billed by 19 providers across 15K claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$85.40

Providers Billing

19

National Spending

$1.5M

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for X1915

#ProviderTotal Paid
11245215714$270K
21275868176$179K
31992798615$168K
41649228909$124K
51073509444$101K
61760462428$91K
71902829500$78K
81639149727$68K
91881891976$66K
101831373067$62K
111427103761$61K
121992755011$57K
131710069596$43K
141043210982$37K
151245711811$25K
161790738383$25K
171770563231$24K
181598202202$11K
191124011226$1K

Showing top 19 of 19 providers billing this code

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