1123F
HCPCS Procedure Code
HCPCS code 1123F is the #2,641 most-billed Medicaid procedure code, with $4.4M in payments across 2.1M claims from 2018–2024. The national median cost per claim is $0.49. Costs vary widely — the 90th percentile is $17.91 per claim, 36.6× the median.
Total Paid
$4.4M
0.00% of all spending
Total Claims
2.1M
Providers
2,161
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for 1123F? Based on 255 providers billing this code nationally.
Median
$0.49
Average
$5.74
Std Dev
$10.10
Max
$81.36
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.00 and $9.23 per claim for this code.
90% bill between $0.00 and $17.91.
Top 1% bill above $44.08.
About This Procedure
HCPCS code 1123F was billed by 2,161 providers across 2.1M claims, totaling $4.4M in Medicaid payments from 2018–2024. This code was used for 1.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.49
Providers Billing
255
National Spending
$4.4M
Avg/Median Ratio
11.71×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 1123F
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1922598929 | $582K |
| 2 | 1578598868 | $329K |
| 3 | 1093796609 | $234K |
| 4 | 1386631810 | $223K |
| 5 | 1801891080 | $183K |
| 6 | 1902332133 | $180K |
| 7 | 1588689483 | $165K |
| 8 | 1134117393 | $155K |
| 9 | 1013913789 | $135K |
| 10 | 1780671099 | $133K |
| 11 | 1588654289 | $123K |
| 12 | 1740286418 | $101K |
| 13 | 1376537456 | $100K |
| 14 | 1891072286 | $92K |
| 15 | 1306258645 | $81K |
| 16 | 1275523243 | $74K |
| 17 | 1689655219 | $72K |
| 18 | 1356346100 | $69K |
| 19 | 1356007116 | $69K |
| 20 | 1831195502 | $63K |
Showing top 20 of 2,161 providers billing this code