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#4801 of 11K

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)

p10
$73.11
p25
$83.12
Median
$89.72
p75
$132.15
p90
$201.77
p95
$249.00
p99
$322.22

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

#ProviderTotal Paid
11871986372$159K
21972126209$96K
31487609475$38K
41558391763$22K
51497797153$18K
61558314427$17K
71417994872$15K
81669581997$11K
9William Beaumont Hospital

Royal Oak, MI · Internal Medicine, Cardiovascular Disease

$8K
101053366377$3K
111922031442$3K
121528578333$1K
131225016926$1K
141780633289$1K
151841774262$889
161194763045$0
17The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$0
18Miami Valley Hospital

Dayton, OH · General Acute Care Hospital

$0
19Ohio State University Hospitals

Columbus, OH · General Acute Care Hospital

$0

Showing top 19 of 19 providers billing this code

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