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#6661 of 11K

0312

HCPCS Procedure Code

HCPCS code 0312 is the #6,661 most-billed Medicaid procedure code, with $49K in payments across 5K claims from 2018–2024. The national median cost per claim is $12.98.

Total Paid

$49K

0.00% of all spending

Total Claims

5K

Providers

12

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for 0312? Based on 2 providers billing this code nationally.

Median

$12.98

Average

$12.98

Std Dev

$17.59

Max

$25.42

Percentile Distribution (Cost per Claim)

p10
$3.03
p25
$6.76
Median
$12.98
p75
$19.20
p90
$22.93
p95
$24.18
p99
$25.17

50% of providers bill between $6.76 and $19.20 per claim for this code.

90% bill between $3.03 and $22.93.

Top 1% bill above $25.17.

About This Procedure

HCPCS code 0312 was billed by 12 providers across 5K claims, totaling $49K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.98

Providers Billing

2

National Spending

$49K

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 0312

#ProviderTotal Paid
11194711952$49K
21760510937$20
3County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$0
41982629440$0
51578529285$0
61114547114$0
7Desert Valley Hospital Llc

Victorville, CA · General Acute Care Hospital

$0
81063441293$0
91487697215$0
101336328244$0
11Kaiser Foundation Hospitals

Anaheim, CA · General Acute Care Hospital

$0
121124173059$0

Showing top 12 of 12 providers billing this code