0112
HCPCS Procedure Code
HCPCS code 0112 is the #2,061 most-billed Medicaid procedure code, with $9.5M in payments across 6K claims from 2018–2024. The national median cost per claim is $1,157.52. Costs vary widely — the 90th percentile is $12,251.40 per claim, 10.6× the median.
Total Paid
$9.5M
0.00% of all spending
Total Claims
6K
Providers
13
Avg Cost/Claim
$2K
National Cost Distribution
How much do providers bill per claim for 0112? Based on 10 providers billing this code nationally.
Median
$1,157.52
Average
$4,460.52
Std Dev
$5,803.07
Max
$16,455.19
Percentile Distribution (Cost per Claim)
50% of providers bill between $630.31 and $7,426.75 per claim for this code.
90% bill between $434.39 and $12,251.40.
Top 1% bill above $16,034.81.
About This Procedure
HCPCS code 0112 was billed by 13 providers across 6K claims, totaling $9.5M in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1,157.52
Providers Billing
10
National Spending
$9.5M
Avg/Median Ratio
3.85×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0112
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1639523004 | $3.5M |
| 2 | Desert Valley Hospital Llc Victorville, CA · General Acute Care Hospital | $2.4M |
| 3 | 1124173059 | $1.1M |
| 4 | 1336328244 | $989K |
| 5 | 1518940667 | $586K |
| 6 | 1720128556 | $494K |
| 7 | 1336294040 | $167K |
| 8 | 1982629440 | $133K |
| 9 | 1922033547 | $18K |
| 10 | Kaiser Foundation Health Plan Inc Oakland, CA · Health Maintenance Organization | $12K |
| 11 | 1063441293 | $0 |
| 12 | 1841492212 | $0 |
| 13 | 1699986331 | $0 |
Showing top 13 of 13 providers billing this code