G9012
Other specified case management service, per 15 minutes
Other specified case management service, per 15 minutes is the #86 most-billed Medicaid procedure code, with $2.25B in payments across 20.9M claims from 2018–2024. The national median cost per claim is $137.85. Costs vary widely — the 90th percentile is $288.76 per claim, 2.1× the median.
Total Paid
$2.25B
0.21% of all spending
Total Claims
20.9M
Providers
2K
Avg Cost/Claim
$108
National Cost Distribution
How much do providers bill per claim for G9012? Based on 1K providers billing this code nationally.
Median
$137.85
Average
$166.47
Std Dev
$131.50
Max
$1,020.97
Percentile Distribution (Cost per Claim)
50% of providers bill between $59.06 and $265.49 per claim for this code.
90% bill between $22.61 and $288.76.
Top 1% bill above $608.49.
About This Procedure
HCPCS code G9012 (Other specified case management service, per 15 minutes) was billed by 2K providers across 20.9M claims, totaling $2.25B in Medicaid payments from 2018–2024. This code was used for 8.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$137.85
Providers Billing
1K
National Spending
$2.25B
Avg/Median Ratio
1.21×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for G9012
| # | Provider | Total Paid |
|---|---|---|
| 1 | State Of Oklahoma Dept Of Human Services Oklahoma City, OK · Case Management | $224.5M |
| 2 | State Of Oklahoma Dept. Of Human Services Oklahoma City, OK · Case Management | $187.3M |
| 3 | State Of Missouri Saint Louis, MO · Case Management | $78.4M |
| 4 | Ars Treatment Centers, P.c. Uniontown, PA · Anesthesiology | $46.2M |
| 5 | 1861521809 | $46.0M |
| 6 | 1649809526 | $41.4M |
| 7 | 1861662827 | $41.2M |
| 8 | 1366807760 | $33.6M |
| 9 | 1366576514 | $33.5M |
| 10 | Handicap Facilities Of St Charles County St Peters, MO · Case Management | $29.6M |
| 11 | American Truecare, Inc San Diego, CA · Case Management | $26.8M |
| 12 | 1003186156 | $24.5M |
| 13 | 1831239383 | $23.0M |
| 14 | 1831237080 | $21.3M |
| 15 | 1548739170 | $18.4M |
| 16 | 1669782850 | $17.7M |
| 17 | 1073644076 | $17.4M |
| 18 | Independent Living Systems Llc Miami, FL · Case Management | $16.2M |
| 19 | 1952328700 | $15.7M |
| 20 | Full Circle Health Network Sacramento, CA · Supports Brokerage | $15.1M |
Showing top 20 of 2K providers billing this code