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#6439 of 11K

0012M

HCPCS Procedure Code

HCPCS code 0012M is the #6,439 most-billed Medicaid procedure code, with $65K in payments across 750 claims from 2018–2024. The national median cost per claim is $86.39.

Total Paid

$65K

0.00% of all spending

Total Claims

750

Providers

1

Avg Cost/Claim

$86

National Cost Distribution

How much do providers bill per claim for 0012M? Based on 1 providers billing this code nationally.

Median

$86.39

Average

$86.39

Std Dev

Max

$86.39

Percentile Distribution (Cost per Claim)

p10
$86.39
p25
$86.39
Median
$86.39
p75
$86.39
p90
$86.39
p95
$86.39
p99
$86.39

50% of providers bill between $86.39 and $86.39 per claim for this code.

90% bill between $86.39 and $86.39.

Top 1% bill above $86.39.

About This Procedure

HCPCS code 0012M was billed by 1 providers across 750 claims, totaling $65K in Medicaid payments from 2018–2024. This code was used for 736 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$86.39

Providers Billing

1

National Spending

$65K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.