1213M
HCPCS Procedure Code
HCPCS code 1213M is the #2,372 most-billed Medicaid procedure code, with $6.3M in payments across 61K claims from 2018–2024. The national median cost per claim is $102.49.
Total Paid
$6.3M
0.00% of all spending
Total Claims
61K
Providers
10
Avg Cost/Claim
$103
National Cost Distribution
How much do providers bill per claim for 1213M? Based on 10 providers billing this code nationally.
Median
$102.49
Average
$116.57
Std Dev
$96.35
Max
$373.19
Percentile Distribution (Cost per Claim)
50% of providers bill between $63.60 and $124.53 per claim for this code.
90% bill between $39.25 and $153.62.
Top 1% bill above $351.24.
About This Procedure
HCPCS code 1213M was billed by 10 providers across 61K claims, totaling $6.3M in Medicaid payments from 2018–2024. This code was used for 3,905 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$102.49
Providers Billing
10
National Spending
$6.3M
Avg/Median Ratio
1.14×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 1213M
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1346639739 | $2.4M |
| 2 | 1588128813 | $2.0M |
| 3 | 1922132083 | $1000K |
| 4 | 1235584145 | $393K |
| 5 | 1043410954 | $225K |
| 6 | 1144695461 | $133K |
| 7 | 1881016186 | $57K |
| 8 | 1316306566 | $18K |
| 9 | 1578855508 | $11K |
| 10 | 1962970699 | $7K |
Showing top 10 of 10 providers billing this code