01214
HCPCS Procedure Code
HCPCS code 01214 is the #4,801 most-billed Medicaid procedure code, with $396K in payments across 3,731 claims from 2018–2024. The national median cost per claim is $89.72. Costs vary widely — the 90th percentile is $201.77 per claim, 2.2× the median.
Total Paid
$396K
0.00% of all spending
Total Claims
3,731
Providers
19
Avg Cost/Claim
$106
National Cost Distribution
How much do providers bill per claim for 01214? Based on 15 providers billing this code nationally.
Median
$89.72
Average
$120.99
Std Dev
$75.99
Max
$340.53
Percentile Distribution (Cost per Claim)
50% of providers bill between $83.12 and $132.15 per claim for this code.
90% bill between $73.11 and $201.77.
Top 1% bill above $322.22.
About This Procedure
HCPCS code 01214 was billed by 19 providers across 3,731 claims, totaling $396K in Medicaid payments from 2018–2024. This code was used for 2,736 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$89.72
Providers Billing
15
National Spending
$396K
Avg/Median Ratio
1.35×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 01214
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1871986372 | $159K |
| 2 | 1972126209 | $96K |
| 3 | 1487609475 | $38K |
| 4 | 1558391763 | $22K |
| 5 | 1497797153 | $18K |
| 6 | 1558314427 | $17K |
| 7 | 1417994872 | $15K |
| 8 | 1669581997 | $11K |
| 9 | William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease | $8K |
| 10 | 1053366377 | $3K |
| 11 | 1922031442 | $3K |
| 12 | 1528578333 | $1K |
| 13 | 1225016926 | $1K |
| 14 | 1780633289 | $1K |
| 15 | 1841774262 | $889 |
| 16 | 1194763045 | $0 |
| 17 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $0 |
| 18 | Miami Valley Hospital Dayton, OH · General Acute Care Hospital | $0 |
| 19 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $0 |
Showing top 19 of 19 providers billing this code