84512
HCPCS Procedure Code
HCPCS code 84512 is the #5,136 most-billed Medicaid procedure code, with $279K in payments across 42K claims from 2018–2024. The national median cost per claim is $5.41. Costs vary widely — the 90th percentile is $47.17 per claim, 8.7× the median.
Total Paid
$279K
0.00% of all spending
Total Claims
42K
Providers
35
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 84512? Based on 29 providers billing this code nationally.
Median
$5.41
Average
$14.37
Std Dev
$21.81
Max
$80.67
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.97 and $14.53 per claim for this code.
90% bill between $0.09 and $47.17.
Top 1% bill above $78.51.
About This Procedure
HCPCS code 84512 was billed by 35 providers across 42K claims, totaling $279K in Medicaid payments from 2018–2024. This code was used for 34K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.41
Providers Billing
29
National Spending
$279K
Avg/Median Ratio
2.66×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 84512
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1154715845 | $116K |
| 2 | 1033716147 | $54K |
| 3 | 1144227935 | $32K |
| 4 | 1831115641 | $30K |
| 5 | 1184616740 | $12K |
| 6 | 1760446256 | $7K |
| 7 | Norton Sound Health Corporation Nome, AK · General Acute Care Hospital, Critical Access | $6K |
| 8 | 1558328435 | $6K |
| 9 | 1447255153 | $5K |
| 10 | 1013901974 | $3K |
| 11 | 1558363986 | $2K |
| 12 | Kaiser Foundation Health Plan Of The Northwest Portland, OR · General Practice | $2K |
| 13 | 1578520045 | $874 |
| 14 | 1255449013 | $775 |
| 15 | Dignity Health Phoenix, AZ · Rehabilitation Unit | $536 |
| 16 | 1053997338 | $526 |
| 17 | Aurora Medical Group, Inc. Milwaukee, WI · Internal Medicine | $456 |
| 18 | 1205852209 | $425 |
| 19 | 1538109251 | $228 |
| 20 | 1316904287 | $184 |
Showing top 20 of 35 providers billing this code