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#2641 of 11K

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)

p10
$0.00
p25
$0.00
Median
$0.49
p75
$9.23
p90
$17.91
p95
$22.96
p99
$44.08

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

#ProviderTotal Paid
11922598929$582K
21578598868$329K
31093796609$234K
41386631810$223K
51801891080$183K
61902332133$180K
71588689483$165K
81134117393$155K
91013913789$135K
101780671099$133K
111588654289$123K
121740286418$101K
131376537456$100K
141891072286$92K
151306258645$81K
161275523243$74K
171689655219$72K
181356346100$69K
191356007116$69K
201831195502$63K

Showing top 20 of 2,161 providers billing this code