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#5725 of 11K

1209Z

HCPCS Procedure Code

HCPCS code 1209Z is the #5,725 most-billed Medicaid procedure code, with $148K in payments across 32 claims from 2018–2024. The national median cost per claim is $4,631.54.

Total Paid

$148K

0.00% of all spending

Total Claims

32

Providers

1

Avg Cost/Claim

$5K

National Cost Distribution

How much do providers bill per claim for 1209Z? Based on 1 providers billing this code nationally.

Median

$4,631.54

Average

$4,631.54

Std Dev

Max

$4,631.54

Percentile Distribution (Cost per Claim)

p10
$4,631.54
p25
$4,631.54
Median
$4,631.54
p75
$4,631.54
p90
$4,631.54
p95
$4,631.54
p99
$4,631.54

50% of providers bill between $4,631.54 and $4,631.54 per claim for this code.

90% bill between $4,631.54 and $4,631.54.

Top 1% bill above $4,631.54.

About This Procedure

HCPCS code 1209Z was billed by 1 providers across 32 claims, totaling $148K in Medicaid payments from 2018–2024. This code was used for 25 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4,631.54

Providers Billing

1

National Spending

$148K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.