81212
HCPCS Procedure Code
HCPCS code 81212 is the #6,959 most-billed Medicaid procedure code, with $35K in payments across 460 claims from 2018–2024. The national median cost per claim is $109.69.
Total Paid
$35K
0.00% of all spending
Total Claims
460
Providers
4
Avg Cost/Claim
$76
National Cost Distribution
How much do providers bill per claim for 81212? Based on 2 providers billing this code nationally.
Median
$109.69
Average
$109.69
Std Dev
$148.53
Max
$214.71
Percentile Distribution (Cost per Claim)
50% of providers bill between $57.18 and $162.20 per claim for this code.
90% bill between $25.67 and $193.71.
Top 1% bill above $212.61.
About This Procedure
HCPCS code 81212 was billed by 4 providers across 460 claims, totaling $35K in Medicaid payments from 2018–2024. This code was used for 310 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$109.69
Providers Billing
2
National Spending
$35K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.