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#2184 of 11K

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)

p10
$71.54
p25
$227.59
Median
$1,752.88
p75
$4,946.23
p90
$7,354.46
p95
$9,100.42
p99
$16,375.03

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

#ProviderTotal Paid
11235120676$1.4M
21093892275$1.4M
3Desert Valley Hospital Llc

Victorville, CA · General Acute Care Hospital

$1.1M
41275578817$1.0M
51114547114$885K
61073519443$849K
71750384079$242K
81811129752$237K
91194840421$216K
10County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$164K
111215927470$129K
12Palomar Health

Escondido, CA · General Acute Care Hospital

$112K
131689732885$91K
141477587632$53K
151487697215$52K
161740215219$50K
171922033547$44K
181578529285$29K
191821250762$22K
201336173269$18K

Showing top 20 of 28 providers billing this code