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#3015 of 11K

1223Z

HCPCS Procedure Code

HCPCS code 1223Z is the #3,015 most-billed Medicaid procedure code, with $2.8M in payments across 107K claims from 2018–2024. The national median cost per claim is $30.35.

Total Paid

$2.8M

0.00% of all spending

Total Claims

107K

Providers

29

Avg Cost/Claim

$26

National Cost Distribution

How much do providers bill per claim for 1223Z? Based on 23 providers billing this code nationally.

Median

$30.35

Average

$33.88

Std Dev

$12.14

Max

$55.57

Percentile Distribution (Cost per Claim)

p10
$19.56
p25
$24.94
Median
$30.35
p75
$43.15
p90
$51.04
p95
$55.07
p99
$55.53

50% of providers bill between $24.94 and $43.15 per claim for this code.

90% bill between $19.56 and $51.04.

Top 1% bill above $55.53.

About This Procedure

HCPCS code 1223Z was billed by 29 providers across 107K claims, totaling $2.8M in Medicaid payments from 2018–2024. This code was used for 77K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$30.35

Providers Billing

23

National Spending

$2.8M

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 1223Z

#ProviderTotal Paid
11023107281$990K
21386794428$418K
31891901393$321K
41174681324$173K
51295156024$123K
6New England Emergency Response Systems Inc

Southfield, MI · Emergency Response System Companies

$106K
71881806081$105K
81174840946$101K
91912056805$88K
101710976220$84K
111790163905$59K
121508982232$51K
131164755013$29K
141699038836$24K
151083677132$21K
161477809051$18K
171639729486$17K
181801243225$13K
191215358361$7K
201568989440$5K

Showing top 20 of 29 providers billing this code