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#6536 of 11K

91112

HCPCS Procedure Code

HCPCS code 91112 is the #6,536 most-billed Medicaid procedure code, with $58K in payments across 283 claims from 2018–2024. The national median cost per claim is $332.33.

Total Paid

$58K

0.00% of all spending

Total Claims

283

Providers

2

Avg Cost/Claim

$203

National Cost Distribution

How much do providers bill per claim for 91112? Based on 2 providers billing this code nationally.

Median

$332.33

Average

$332.33

Std Dev

$227.57

Max

$493.24

Percentile Distribution (Cost per Claim)

p10
$203.59
p25
$251.87
Median
$332.33
p75
$412.78
p90
$461.06
p95
$477.15
p99
$490.02

50% of providers bill between $251.87 and $412.78 per claim for this code.

90% bill between $203.59 and $461.06.

Top 1% bill above $490.02.

About This Procedure

HCPCS code 91112 was billed by 2 providers across 283 claims, totaling $58K in Medicaid payments from 2018–2024. This code was used for 206 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$332.33

Providers Billing

2

National Spending

$58K

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.