12002
HCPCS Procedure Code
HCPCS code 12002 is the #1,592 most-billed Medicaid procedure code, with $18.3M in payments across 209K claims from 2018–2024. The national median cost per claim is $68.89. Costs vary widely — the 90th percentile is $261.60 per claim, 3.8× the median.
Total Paid
$18.3M
0.00% of all spending
Total Claims
209K
Providers
749
Avg Cost/Claim
$87
National Cost Distribution
How much do providers bill per claim for 12002? Based on 685 providers billing this code nationally.
Median
$68.89
Average
$109.60
Std Dev
$116.03
Max
$670.32
Percentile Distribution (Cost per Claim)
50% of providers bill between $30.42 and $158.38 per claim for this code.
90% bill between $7.29 and $261.60.
Top 1% bill above $507.23.
About This Procedure
HCPCS code 12002 was billed by 749 providers across 209K claims, totaling $18.3M in Medicaid payments from 2018–2024. This code was used for 199K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$68.89
Providers Billing
685
National Spending
$18.3M
Avg/Median Ratio
1.59×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 12002
| # | Provider | Total Paid |
|---|---|---|
| 1 | Maricopa County Special Health Care District Phoenix, AZ · General Acute Care Hospital | $555K |
| 2 | Suny Health Science Center At Syracuse Syracuse, NY · General Acute Care Hospital | $480K |
| 3 | Rochester General Hospital Rochester, NY · Dentist, General Practice | $477K |
| 4 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $372K |
| 5 | St. Barnabas Hospital Bronx, NY · General Acute Care Hospital | $357K |
| 6 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $337K |
| 7 | University Of Rochester Rochester, NY · General Acute Care Hospital | $298K |
| 8 | 1841231461 | $286K |
| 9 | 1053373480 | $274K |
| 10 | The Brookdale Hospital Medical Center Brooklyn, NY · General Acute Care Hospital | $273K |
| 11 | Swedish Health Services Seattle, WA · General Acute Care Hospital | $269K |
| 12 | New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine | $229K |
| 13 | New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine | $220K |
| 14 | Maimonides Medical Center Brooklyn, NY · General Acute Care Hospital | $215K |
| 15 | 1093756025 | $201K |
| 16 | 1427007384 | $200K |
| 17 | Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology | $196K |
| 18 | 1518912609 | $193K |
| 19 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $193K |
| 20 | Public Hospital District 1 Of King County Renton, WA · General Acute Care Hospital | $185K |
Showing top 20 of 749 providers billing this code