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#3362 of 11K

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)

p10
$0.00
p25
$0.00
Median
$0.02
p75
$0.18
p90
$0.96
p95
$2.79
p99
$12.96

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

#ProviderTotal Paid
11407243223$391K
21700886322$291K
31225685332$72K
41215037379$63K
51013042480$60K
61962459644$59K
71295165645$56K
81801925367$49K
91013002435$46K
101215984422$42K
111679672562$37K
121588756001$36K
131124067848$34K
141144236902$30K
151922212653$27K
161720196702$24K
171225073166$23K
181831548197$19K
191679705115$15K
201992796759$15K

Showing top 20 of 5,927 providers billing this code