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#7454 of 11K

10121

HCPCS Procedure Code

HCPCS code 10121 is the #7,454 most-billed Medicaid procedure code, with $18K in payments across 217 claims from 2018–2024. The national median cost per claim is $62.61. Costs vary widely — the 90th percentile is $180.75 per claim, 2.9× the median.

Total Paid

$18K

0.00% of all spending

Total Claims

217

Providers

5

Avg Cost/Claim

$81

National Cost Distribution

How much do providers bill per claim for 10121? Based on 5 providers billing this code nationally.

Median

$62.61

Average

$93.72

Std Dev

$78.38

Max

$202.74

Percentile Distribution (Cost per Claim)

p10
$26.39
p25
$34.43
Median
$62.61
p75
$147.77
p90
$180.75
p95
$191.75
p99
$200.54

50% of providers bill between $34.43 and $147.77 per claim for this code.

90% bill between $26.39 and $180.75.

Top 1% bill above $200.54.

About This Procedure

HCPCS code 10121 was billed by 5 providers across 217 claims, totaling $18K in Medicaid payments from 2018–2024. This code was used for 186 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$62.61

Providers Billing

5

National Spending

$18K

Avg/Median Ratio

1.50×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 10121

#ProviderTotal Paid
11780053082$11K
21205105004$3K
31609981885$2K
41225182801$751
51487648697$413

Showing top 5 of 5 providers billing this code

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