Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#6537 of 11K

1202Z

HCPCS Procedure Code

HCPCS code 1202Z is the #6,537 most-billed Medicaid procedure code, with $58K in payments across 1K claims from 2018–2024. The national median cost per claim is $44.79.

Total Paid

$58K

0.00% of all spending

Total Claims

1K

Providers

6

Avg Cost/Claim

$45

National Cost Distribution

How much do providers bill per claim for 1202Z? Based on 5 providers billing this code nationally.

Median

$44.79

Average

$42.93

Std Dev

$5.18

Max

$49.09

Percentile Distribution (Cost per Claim)

p10
$37.39
p25
$39.48
Median
$44.79
p75
$45.32
p90
$47.58
p95
$48.34
p99
$48.94

50% of providers bill between $39.48 and $45.32 per claim for this code.

90% bill between $37.39 and $47.58.

Top 1% bill above $48.94.

About This Procedure

HCPCS code 1202Z was billed by 6 providers across 1K claims, totaling $58K in Medicaid payments from 2018–2024. This code was used for 385 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$44.79

Providers Billing

5

National Spending

$58K

Avg/Median Ratio

0.96×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 1202Z

#ProviderTotal Paid
11972633436$47K
21790118909$7K
31487875712$2K
41518325893$1K
51548511041$540
61710192265$0

Showing top 6 of 6 providers billing this code