P9612
HCPCS Procedure Code
HCPCS code P9612 is the #4,696 most-billed Medicaid procedure code, with $445K in payments across 96K claims from 2018–2024. The national median cost per claim is $1.46. Costs vary widely — the 90th percentile is $20.90 per claim, 14.3× the median.
Total Paid
$445K
0.00% of all spending
Total Claims
96K
Providers
183
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for P9612? Based on 132 providers billing this code nationally.
Median
$1.46
Average
$7.69
Std Dev
$16.18
Max
$105.67
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.08 and $6.18 per claim for this code.
90% bill between $0.03 and $20.90.
Top 1% bill above $74.00.
About This Procedure
HCPCS code P9612 was billed by 183 providers across 96K claims, totaling $445K in Medicaid payments from 2018–2024. This code was used for 79K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1.46
Providers Billing
132
National Spending
$445K
Avg/Median Ratio
5.27×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for P9612
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1740772268 | $62K |
| 2 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $58K |
| 3 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $54K |
| 4 | 1053321919 | $35K |
| 5 | 1578547865 | $31K |
| 6 | St Elizabeth Medical Center, Inc Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | $28K |
| 7 | Baptist Healthcare System Inc Corbin, KY · General Acute Care Hospital | $23K |
| 8 | 1689628232 | $14K |
| 9 | 1851396394 | $11K |
| 10 | 1538244918 | $11K |
| 11 | St. Mary's Medical Center Inc Huntington, WV · General Acute Care Hospital | $10K |
| 12 | 1811213994 | $9K |
| 13 | 1730264128 | $8K |
| 14 | 1265539498 | $8K |
| 15 | Owensboro Health Inc Owensboro, KY · General Acute Care Hospital | $7K |
| 16 | 1447296249 | $6K |
| 17 | 1457389249 | $5K |
| 18 | 1154419737 | $5K |
| 19 | 1386720183 | $4K |
| 20 | 1558313213 | $3K |
Showing top 20 of 183 providers billing this code