01200
HCPCS Procedure Code
HCPCS code 01200 is the #6,712 most-billed Medicaid procedure code, with $47K in payments across 914 claims from 2018–2024. The national median cost per claim is $42.49.
Total Paid
$47K
0.00% of all spending
Total Claims
914
Providers
8
Avg Cost/Claim
$51
National Cost Distribution
How much do providers bill per claim for 01200? Based on 8 providers billing this code nationally.
Median
$42.49
Average
$52.09
Std Dev
$21.94
Max
$94.42
Percentile Distribution (Cost per Claim)
50% of providers bill between $38.70 and $52.85 per claim for this code.
90% bill between $37.73 and $83.72.
Top 1% bill above $93.35.
About This Procedure
HCPCS code 01200 was billed by 8 providers across 914 claims, totaling $47K in Medicaid payments from 2018–2024. This code was used for 789 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$42.49
Providers Billing
8
National Spending
$47K
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 01200
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1962596676 | $13K |
| 2 | 1336528926 | $10K |
| 3 | 1740610039 | $7K |
| 4 | 1063880052 | $5K |
| 5 | 1780930743 | $5K |
| 6 | 1952775975 | $3K |
| 7 | 1821654666 | $3K |
| 8 | 1790920452 | $569 |
Showing top 8 of 8 providers billing this code