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#3961 of 11K

99512

HCPCS Procedure Code

HCPCS code 99512 is the #3,961 most-billed Medicaid procedure code, with $977K in payments across 14K claims from 2018–2024. The national median cost per claim is $161.75.

Total Paid

$977K

0.00% of all spending

Total Claims

14K

Providers

2

Avg Cost/Claim

$71

National Cost Distribution

How much do providers bill per claim for 99512? Based on 2 providers billing this code nationally.

Median

$161.75

Average

$161.75

Std Dev

$183.63

Max

$291.59

Percentile Distribution (Cost per Claim)

p10
$57.88
p25
$96.83
Median
$161.75
p75
$226.67
p90
$265.63
p95
$278.61
p99
$289.00

50% of providers bill between $96.83 and $226.67 per claim for this code.

90% bill between $57.88 and $265.63.

Top 1% bill above $289.00.

About This Procedure

HCPCS code 99512 was billed by 2 providers across 14K claims, totaling $977K in Medicaid payments from 2018–2024. This code was used for 937 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$161.75

Providers Billing

2

National Spending

$977K

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.