1126F
HCPCS Procedure Code
HCPCS code 1126F is the #3,362 most-billed Medicaid procedure code, with $1.8M in payments across 13.2M claims from 2018–2024. The national median cost per claim is $0.02. Costs vary widely — the 90th percentile is $0.96 per claim, 48.0× the median.
Total Paid
$1.8M
0.00% of all spending
Total Claims
13.2M
Providers
5,927
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for 1126F? Based on 1,032 providers billing this code nationally.
Median
$0.02
Average
$1.03
Std Dev
$9.20
Max
$199.44
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.00 and $0.18 per claim for this code.
90% bill between $0.00 and $0.96.
Top 1% bill above $12.96.
About This Procedure
HCPCS code 1126F was billed by 5,927 providers across 13.2M claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 11.2M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.02
Providers Billing
1,032
National Spending
$1.8M
Avg/Median Ratio
51.50×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 1126F
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1407243223 | $391K |
| 2 | 1700886322 | $291K |
| 3 | 1225685332 | $72K |
| 4 | 1215037379 | $63K |
| 5 | 1013042480 | $60K |
| 6 | 1962459644 | $59K |
| 7 | 1295165645 | $56K |
| 8 | 1801925367 | $49K |
| 9 | 1013002435 | $46K |
| 10 | 1215984422 | $42K |
| 11 | 1679672562 | $37K |
| 12 | 1588756001 | $36K |
| 13 | 1124067848 | $34K |
| 14 | 1144236902 | $30K |
| 15 | 1922212653 | $27K |
| 16 | 1720196702 | $24K |
| 17 | 1225073166 | $23K |
| 18 | 1831548197 | $19K |
| 19 | 1679705115 | $15K |
| 20 | 1992796759 | $15K |
Showing top 20 of 5,927 providers billing this code