85612
HCPCS Procedure Code
HCPCS code 85612 is the #7,652 most-billed Medicaid procedure code, with $13K in payments across 1,697 claims from 2018–2024. The national median cost per claim is $5.04. Costs vary widely — the 90th percentile is $19.73 per claim, 3.9× the median.
Total Paid
$13K
0.00% of all spending
Total Claims
1,697
Providers
8
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 85612? Based on 8 providers billing this code nationally.
Median
$5.04
Average
$9.87
Std Dev
$9.76
Max
$31.14
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.70 and $13.54 per claim for this code.
90% bill between $3.14 and $19.73.
Top 1% bill above $30.00.
About This Procedure
HCPCS code 85612 was billed by 8 providers across 1,697 claims, totaling $13K in Medicaid payments from 2018–2024. This code was used for 1,385 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.04
Providers Billing
8
National Spending
$13K
Avg/Median Ratio
1.96×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 85612
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1376577247 | $4K |
| 2 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $4K |
| 3 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $2K |
| 4 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $903 |
| 5 | The Miriam Hospital Providence, RI · General Acute Care Hospital | $810 |
| 6 | Beth Israel Medical Center Brooklyn, NY · Psychiatric Unit | $674 |
| 7 | The Good Samaritan Hospital Of Cincinnati, Ohio Cincinnati, OH · General Acute Care Hospital | $128 |
| 8 | St Lukes Roosevelt Hospital Center New York, NY · Case Management | $31 |
Showing top 8 of 8 providers billing this code