0122
HCPCS Procedure Code
HCPCS code 0122 is the #2,184 most-billed Medicaid procedure code, with $8.1M in payments across 9K claims from 2018–2024. The national median cost per claim is $1,752.88. Costs vary widely — the 90th percentile is $7,354.46 per claim, 4.2× the median.
Total Paid
$8.1M
0.00% of all spending
Total Claims
9K
Providers
28
Avg Cost/Claim
$897
National Cost Distribution
How much do providers bill per claim for 0122? Based on 22 providers billing this code nationally.
Median
$1,752.88
Average
$3,270.26
Std Dev
$4,371.62
Max
$18,284.96
Percentile Distribution (Cost per Claim)
50% of providers bill between $227.59 and $4,946.23 per claim for this code.
90% bill between $71.54 and $7,354.46.
Top 1% bill above $16,375.03.
About This Procedure
HCPCS code 0122 was billed by 28 providers across 9K claims, totaling $8.1M in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1,752.88
Providers Billing
22
National Spending
$8.1M
Avg/Median Ratio
1.87×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 0122
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1235120676 | $1.4M |
| 2 | 1093892275 | $1.4M |
| 3 | Desert Valley Hospital Llc Victorville, CA · General Acute Care Hospital | $1.1M |
| 4 | 1275578817 | $1.0M |
| 5 | 1114547114 | $885K |
| 6 | 1073519443 | $849K |
| 7 | 1750384079 | $242K |
| 8 | 1811129752 | $237K |
| 9 | 1194840421 | $216K |
| 10 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $164K |
| 11 | 1215927470 | $129K |
| 12 | Palomar Health Escondido, CA · General Acute Care Hospital | $112K |
| 13 | 1689732885 | $91K |
| 14 | 1477587632 | $53K |
| 15 | 1487697215 | $52K |
| 16 | 1740215219 | $50K |
| 17 | 1922033547 | $44K |
| 18 | 1578529285 | $29K |
| 19 | 1821250762 | $22K |
| 20 | 1336173269 | $18K |
Showing top 20 of 28 providers billing this code