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#1617 of 11K

0124A

HCPCS Procedure Code

HCPCS code 0124A is the #1,617 most-billed Medicaid procedure code, with $17.7M in payments across 494K claims from 2018–2024. The national median cost per claim is $34.32.

Total Paid

$17.7M

0.00% of all spending

Total Claims

494K

Providers

3K

Avg Cost/Claim

$36

National Cost Distribution

How much do providers bill per claim for 0124A? Based on 3K providers billing this code nationally.

Median

$34.32

Average

$37.82

Std Dev

$54.25

Max

$910.00

Percentile Distribution (Cost per Claim)

p10
$10.43
p25
$23.07
Median
$34.32
p75
$40.00
p90
$54.50
p95
$63.75
p99
$208.13

50% of providers bill between $23.07 and $40.00 per claim for this code.

90% bill between $10.43 and $54.50.

Top 1% bill above $208.13.

About This Procedure

HCPCS code 0124A was billed by 3K providers across 494K claims, totaling $17.7M in Medicaid payments from 2018–2024. This code was used for 456K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$34.32

Providers Billing

3K

National Spending

$17.7M

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 0124A

#ProviderTotal Paid
1Dhhs Phs Naihs Shiprock Hospital

Shiprock, NM · General Acute Care Hospital

$1.5M
2Zuni Indian Hospital

Zuni, NM · General Acute Care Hospital

$652K
3Dhhs,phs,naihs, Gallup Indian Medical Center

Gallup, NM · General Acute Care Hospital

$623K
4Rosebud Indian Health Service

Rosebud, SD · General Acute Care Hospital

$493K
5Permanente Medical Group Inc

Stockton, CA · Anesthesiology

$474K
6County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$223K
7Permanente Medical Group Inc

Richmond, CA · Internal Medicine

$213K
81952386153$188K
9Cambridge Public Health Commission

Cambridge, MA · General Acute Care Hospital

$183K
10Richard Bone

Chicago, IL · Internal Medicine, Gastroenterology

$164K
11The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$147K
12The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$146K
13Southern California Permanente Medical Group

San Diego, CA · Health Maintenance Organization

$145K
14The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$139K
15Kaiser Foundation Health Plan Of The Northwest

Portland, OR · General Practice

$132K
16Acoma-canoncito-laguna Indian Health Center

Acoma, NM · Clinic/Center, Health Services

$129K
17Southern California Permanente Medical Group

Los Angeles, CA · Health Maintenance Organization

$123K
18Southern California Permanente Medical Group

Baldwin Park, CA · Health Maintenance Organization

$111K
19Dulce Health Center

Dulce, NM · Clinic/Center, Public Health, Federal

$109K
20The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$106K

Showing top 20 of 3K providers billing this code