0123
HCPCS Procedure Code
HCPCS code 0123 is the #1,273 most-billed Medicaid procedure code, with $29.7M in payments across 9K claims from 2018–2024. The national median cost per claim is $3,178.88. Costs vary widely — the 90th percentile is $7,854.57 per claim, 2.5× the median.
Total Paid
$29.7M
0.00% of all spending
Total Claims
9K
Providers
16
Avg Cost/Claim
$3K
National Cost Distribution
How much do providers bill per claim for 0123? Based on 12 providers billing this code nationally.
Median
$3,178.88
Average
$4,205.59
Std Dev
$3,035.46
Max
$8,350.96
Percentile Distribution (Cost per Claim)
50% of providers bill between $1,908.30 and $7,155.18 per claim for this code.
90% bill between $1,140.33 and $7,854.57.
Top 1% bill above $8,297.00.
About This Procedure
HCPCS code 0123 was billed by 16 providers across 9K claims, totaling $29.7M in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3,178.88
Providers Billing
12
National Spending
$29.7M
Avg/Median Ratio
1.32×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0123
| # | Provider | Total Paid |
|---|---|---|
| 1 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $21.9M |
| 2 | 1710065933 | $1.9M |
| 3 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $1.7M |
| 4 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $1.5M |
| 5 | 1750384079 | $1.0M |
| 6 | 1003102781 | $502K |
| 7 | 1811080526 | $402K |
| 8 | 1740215219 | $359K |
| 9 | 1215927470 | $253K |
| 10 | 1811129752 | $101K |
| 11 | 1821250762 | $29K |
| 12 | 1578529285 | $14K |
| 13 | 1275975104 | $0 |
| 14 | 1265530653 | $0 |
| 15 | 1750503017 | $0 |
| 16 | 1669617197 | $0 |
Showing top 16 of 16 providers billing this code