91312
HCPCS Procedure Code
HCPCS code 91312 is the #6,307 most-billed Medicaid procedure code, with $76K in payments across 196K claims from 2018–2024. The national median cost per claim is $0.01. Costs vary widely — the 90th percentile is $2.10 per claim, 210.0× the median.
Total Paid
$76K
0.00% of all spending
Total Claims
196K
Providers
1K
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for 91312? Based on 258 providers billing this code nationally.
Median
$0.01
Average
$1.24
Std Dev
$5.29
Max
$50.42
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.00 and $0.06 per claim for this code.
90% bill between $0.00 and $2.10.
Top 1% bill above $28.82.
About This Procedure
HCPCS code 91312 was billed by 1K providers across 196K claims, totaling $76K in Medicaid payments from 2018–2024. This code was used for 172K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.01
Providers Billing
258
National Spending
$76K
Avg/Median Ratio
124.00×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 91312
| # | Provider | Total Paid |
|---|---|---|
| 1 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $28K |
| 2 | Cornell Scott Hill Health Corporation New Haven, CT · Psychiatry & Neurology, Child & Adolescent Psychiatry | $14K |
| 3 | 1528128899 | $7K |
| 4 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $5K |
| 5 | 1144302415 | $4K |
| 6 | 1356307581 | $3K |
| 7 | 1164613857 | $2K |
| 8 | 1376104125 | $2K |
| 9 | 1548267420 | $1K |
| 10 | 1144203498 | $1K |
| 11 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $1K |
| 12 | 1275196222 | $760 |
| 13 | 1336245828 | $577 |
| 14 | 1184904302 | $513 |
| 15 | 1154396711 | $506 |
| 16 | 1497812721 | $475 |
| 17 | 1528157211 | $411 |
| 18 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $381 |
| 19 | 1962866095 | $320 |
| 20 | Mount Sinai Hospital New York, NY · Ambulance | $257 |
Showing top 20 of 1K providers billing this code