#1833 of 11K

X1939

HCPCS Procedure Code

HCPCS code X1939 is the #1,833 most-billed Medicaid procedure code, with $13.1M in payments across 208K claims from 2018–2024. The national median cost per claim is $63.12.

Total Paid

$13.1M

0.00% of all spending

Total Claims

208K

Providers

Avg Cost/Claim

$63

National Cost Distribution

How much do providers bill per claim for X1939? Based on 76 providers billing this code nationally.

Median

$63.12

Average

$63.07

Std Dev

$5.88

Max

$85.21

Percentile Distribution (Cost per Claim)

p10

$56.32

p25

$60.11

Median

$63.12

p75

$65.64

p90

$68.43

p95

$72.89

p99

$80.33

50% of providers bill between $60.11 and $65.64 per claim for this code.

90% bill between $56.32 and $68.43.

Top 1% bill above $80.33.

About This Procedure

HCPCS code X1939 was billed by 76 providers across 208K claims, totaling $13.1M in Medicaid payments from 2018–2024. This code was used for 205K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$63.12

Providers Billing

National Spending

$13.1M

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for X1939

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1790738383	$1.4M	$62.28	1.0× median	Below Median
2	1902099161	$1.2M	$63.66	1.0× median	Above Median
3	1558300293	$888K	$66.22	1.0× median	Above 75th
4	1881891976	$758K	$65.35	1.0× median	Above Median
5	1730382896	$655K	$62.89	1.0× median	Below Median
6	1245711811	$648K	$63.63	1.0× median	Above Median
7	1770563231	$519K	$61.01	1.0× median	Below Median
8	1891997052	$402K	$64.76	1.0× median	Above Median
9	1275868176	$338K	$65.84	1.0× median	Above 75th
10	1831373067	$334K	$61.66	1.0× median	Below Median
11	1104979350	$284K	$63.01	1.0× median	Below Median
12	1659351427	$272K	$60.47	1.0× median	Below Median
13	1275596249	$255K	$61.57	1.0× median	Below Median
14	1912923764	$255K	$65.09	1.0× median	Above Median
15	1427103761	$254K	$65.94	1.0× median	Above 75th
16	1295927374	$252K	$62.14	1.0× median	Below Median
17	1265582449	$234K	$62.32	1.0× median	Below Median
18	1245215714	$234K	$65.10	1.0× median	Above Median
19	1083680938	$227K	$62.47	1.0× median	Below Median
20	1427237262	$217K	$68.94	1.1× median	Top 10%

Showing top 20 of 76 providers billing this code

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