12051
HCPCS Procedure Code
HCPCS code 12051 is the #3,952 most-billed Medicaid procedure code, with $984K in payments across 5K claims from 2018–2024. The national median cost per claim is $130.48. Costs vary widely — the 90th percentile is $330.98 per claim, 2.5× the median.
Total Paid
$984K
0.00% of all spending
Total Claims
5K
Providers
20
Avg Cost/Claim
$196
National Cost Distribution
How much do providers bill per claim for 12051? Based on 20 providers billing this code nationally.
Median
$130.48
Average
$168.53
Std Dev
$137.23
Max
$482.84
Percentile Distribution (Cost per Claim)
50% of providers bill between $63.34 and $246.65 per claim for this code.
90% bill between $38.15 and $330.98.
Top 1% bill above $474.94.
About This Procedure
HCPCS code 12051 was billed by 20 providers across 5K claims, totaling $984K in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$130.48
Providers Billing
20
National Spending
$984K
Avg/Median Ratio
1.29×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 12051
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1053697896 | $370K |
| 2 | Dayton Children's Hospital Dayton, OH · General Acute Care Hospital, Children | $150K |
| 3 | Children's Hospital Washington, DC · General Acute Care Hospital Children | $141K |
| 4 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $121K |
| 5 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $62K |
| 6 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $40K |
| 7 | 1700162054 | $26K |
| 8 | 1568873727 | $20K |
| 9 | Maimonides Medical Center Brooklyn, NY · General Acute Care Hospital | $14K |
| 10 | 1295001576 | $10K |
| 11 | 1396741351 | $6K |
| 12 | 1811080526 | $5K |
| 13 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $5K |
| 14 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $3K |
| 15 | 1851437719 | $3K |
| 16 | Variety Children's Hospital Miami, FL · General Acute Care Hospital Children | $3K |
| 17 | 1871521880 | $2K |
| 18 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $2K |
| 19 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $765 |
| 20 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $323 |
Showing top 20 of 20 providers billing this code