Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#6364 of 11K

59812

HCPCS Procedure Code

HCPCS code 59812 is the #6,364 most-billed Medicaid procedure code, with $71K in payments across 76 claims from 2018–2024. The national median cost per claim is $810.52.

Total Paid

$71K

0.00% of all spending

Total Claims

76

Providers

5

Avg Cost/Claim

$938

National Cost Distribution

How much do providers bill per claim for 59812? Based on 5 providers billing this code nationally.

Median

$810.52

Average

$973.87

Std Dev

$524.28

Max

$1,876.12

Percentile Distribution (Cost per Claim)

p10
$609.39
p25
$720.36
Median
$810.52
p75
$926.93
p90
$1,496.45
p95
$1,686.29
p99
$1,838.16

50% of providers bill between $720.36 and $926.93 per claim for this code.

90% bill between $609.39 and $1,496.45.

Top 1% bill above $1,838.16.

About This Procedure

HCPCS code 59812 was billed by 5 providers across 76 claims, totaling $71K in Medicaid payments from 2018–2024. This code was used for 72 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$810.52

Providers Billing

5

National Spending

$71K

Avg/Median Ratio

1.20×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 59812

#ProviderTotal Paid
1St Elizabeth Medical Center, Inc

Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier

$28K
21164848453$13K
31346213469$11K
4The Toledo Hospital

Toledo, OH · Pediatrics

$11K
51417959701$9K

Showing top 5 of 5 providers billing this code

Related Procedures