13121
HCPCS Procedure Code
HCPCS code 13121 is the #4,444 most-billed Medicaid procedure code, with $587K in payments across 2,986 claims from 2018–2024. The national median cost per claim is $181.83.
Total Paid
$587K
0.00% of all spending
Total Claims
2,986
Providers
20
Avg Cost/Claim
$197
National Cost Distribution
How much do providers bill per claim for 13121? Based on 20 providers billing this code nationally.
Median
$181.83
Average
$210.64
Std Dev
$111.80
Max
$430.54
Percentile Distribution (Cost per Claim)
50% of providers bill between $117.24 and $270.24 per claim for this code.
90% bill between $102.38 and $361.93.
Top 1% bill above $427.41.
About This Procedure
HCPCS code 13121 was billed by 20 providers across 2,986 claims, totaling $587K in Medicaid payments from 2018–2024. This code was used for 2,766 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$181.83
Providers Billing
20
National Spending
$587K
Avg/Median Ratio
1.16×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 13121
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1073662946 | $338K |
| 2 | 1235671389 | $61K |
| 3 | 1225182801 | $50K |
| 4 | 1306982855 | $33K |
| 5 | 1780159749 | $18K |
| 6 | 1093068611 | $17K |
| 7 | 1376605394 | $15K |
| 8 | 1396741351 | $8K |
| 9 | 1407804115 | $7K |
| 10 | 1134201460 | $7K |
| 11 | 1134349954 | $6K |
| 12 | 1144419458 | $4K |
| 13 | 1053493288 | $4K |
| 14 | 1720089279 | $4K |
| 15 | 1790732832 | $4K |
| 16 | 1932154788 | $3K |
| 17 | 1174565600 | $3K |
| 18 | 1699382507 | $3K |
| 19 | 1679507537 | $2K |
| 20 | 1740381516 | $912 |
Showing top 20 of 20 providers billing this code