#3502 of 11K

G6012

HCPCS Procedure Code

HCPCS code G6012 is the #3,502 most-billed Medicaid procedure code, with $1.6M in payments across 14K claims from 2018–2024. The national median cost per claim is $117.36.

Total Paid

$1.6M

0.00% of all spending

Total Claims

14K

Providers

Avg Cost/Claim

$118

National Cost Distribution

How much do providers bill per claim for G6012? Based on 21 providers billing this code nationally.

Median

$117.36

Average

$128.82

Std Dev

$68.62

Max

$299.46

Percentile Distribution (Cost per Claim)

p10

$63.64

p25

$88.71

Median

$117.36

p75

$164.85

p90

$208.84

p95

$233.96

p99

$286.36

50% of providers bill between $88.71 and $164.85 per claim for this code.

90% bill between $63.64 and $208.84.

Top 1% bill above $286.36.

About This Procedure

HCPCS code G6012 was billed by 22 providers across 14K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 2,538 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$117.36

Providers Billing

National Spending

$1.6M

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G6012

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1871886366	$528K	$119.18	1.0× median	Above Median
2	1407861818	$247K	$164.85	1.4× median	Above Median
3	1083604334	$223K	$88.71	0.8× median	Below Median
4	1699707885	$122K	$198.52	1.7× median	Above 75th
5	1285625202	$77K	$89.12	0.8× median	Below Median
6	1144272881	$55K	$54.81	0.5× median	Below Median
7	1902104573	$49K	$118.98	1.0× median	Above Median
8	1043578206	$48K	$152.70	1.3× median	Above Median
9	1043204233	$47K	$299.46	2.6× median	Top 1%
10	1780107797	$42K	$233.96	2.0× median	Top 10%
11	1023072485	$38K	$79.21	0.7× median	Below Median
12	1841457959	$36K	$139.48	1.2× median	Above Median
13	1841243722	$18K	$193.24	1.6× median	Above 75th
14	1578587671	$17K	$208.84	1.8× median	Top 10%
15	1427256957	$16K	$89.02	0.8× median	Below Median
16	1275651515	$14K	$117.36	1.0× median	Below Median
17	1285746636	$9K	$103.00	0.9× median	Below Median
18	1982629648	$7K	$84.82	0.7× median	Below Median
19	1447276605	$4K	$104.61	0.9× median	Below Median
20	1265436802	$2K	$63.64	0.5× median	Below Median

Showing top 20 of 22 providers billing this code

Related Procedures

G6015$42.2M G6002$3.3M G6013$266K G6017$96K G6016$37K

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