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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Dhhs Phs Naihs Shiprock Hospital Shiprock, NM · General Acute Care Hospital | $1.5M |
| 2 | Zuni Indian Hospital Zuni, NM · General Acute Care Hospital | $652K |
| 3 | Dhhs,phs,naihs, Gallup Indian Medical Center Gallup, NM · General Acute Care Hospital | $623K |
| 4 | Rosebud Indian Health Service Rosebud, SD · General Acute Care Hospital | $493K |
| 5 | Permanente Medical Group Inc Stockton, CA · Anesthesiology | $474K |
| 6 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $223K |
| 7 | Permanente Medical Group Inc Richmond, CA · Internal Medicine | $213K |
| 8 | 1952386153 | $188K |
| 9 | Cambridge Public Health Commission Cambridge, MA · General Acute Care Hospital | $183K |
| 10 | Richard Bone Chicago, IL · Internal Medicine, Gastroenterology | $164K |
| 11 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $147K |
| 12 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $146K |
| 13 | Southern California Permanente Medical Group San Diego, CA · Health Maintenance Organization | $145K |
| 14 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $139K |
| 15 | Kaiser Foundation Health Plan Of The Northwest Portland, OR · General Practice | $132K |
| 16 | Acoma-canoncito-laguna Indian Health Center Acoma, NM · Clinic/Center, Health Services | $129K |
| 17 | Southern California Permanente Medical Group Los Angeles, CA · Health Maintenance Organization | $123K |
| 18 | Southern California Permanente Medical Group Baldwin Park, CA · Health Maintenance Organization | $111K |
| 19 | Dulce Health Center Dulce, NM · Clinic/Center, Public Health, Federal | $109K |
| 20 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $106K |
Showing top 20 of 3K providers billing this code