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#1469 of 11K

1201Z

HCPCS Procedure Code

HCPCS code 1201Z is the #1,469 most-billed Medicaid procedure code, with $22.1M in payments across 225K claims from 2018–2024. The national median cost per claim is $81.57.

Total Paid

$22.1M

0.00% of all spending

Total Claims

225K

Providers

19

Avg Cost/Claim

$98

National Cost Distribution

How much do providers bill per claim for 1201Z? Based on 16 providers billing this code nationally.

Median

$81.57

Average

$99.01

Std Dev

$42.45

Max

$203.30

Percentile Distribution (Cost per Claim)

p10
$64.39
p25
$72.84
Median
$81.57
p75
$117.88
p90
$152.58
p95
$174.51
p99
$197.54

50% of providers bill between $72.84 and $117.88 per claim for this code.

90% bill between $64.39 and $152.58.

Top 1% bill above $197.54.

About This Procedure

HCPCS code 1201Z was billed by 19 providers across 225K claims, totaling $22.1M in Medicaid payments from 2018–2024. This code was used for 20K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$81.57

Providers Billing

16

National Spending

$22.1M

Avg/Median Ratio

1.21×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 1201Z

#ProviderTotal Paid
11790118909$8.2M
21679785513$4.6M
31255890562$2.8M
41629320494$1.6M
51972633436$1.4M
61518325893$753K
71487875712$517K
81619189941$474K
91982821021$469K
101184839953$360K
111548511041$353K
121467092502$250K
131255546305$186K
141740277094$40K
151851796163$12K
161154900215$9K
171780824854$0
181811102361$0
191710192265$0

Showing top 19 of 19 providers billing this code