Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#8603 of 11K

S5012

HCPCS Procedure Code

HCPCS code S5012 is the #8,603 most-billed Medicaid procedure code, with $2K in payments across 4K claims from 2018–2024. The national median cost per claim is $0.64.

Total Paid

$2K

0.00% of all spending

Total Claims

4K

Providers

3

Avg Cost/Claim

$1

National Cost Distribution

How much do providers bill per claim for S5012? Based on 1 providers billing this code nationally.

Median

$0.64

Average

$0.64

Std Dev

Max

$0.64

Percentile Distribution (Cost per Claim)

p10
$0.64
p25
$0.64
Median
$0.64
p75
$0.64
p90
$0.64
p95
$0.64
p99
$0.64

50% of providers bill between $0.64 and $0.64 per claim for this code.

90% bill between $0.64 and $0.64.

Top 1% bill above $0.64.

About This Procedure

HCPCS code S5012 was billed by 3 providers across 4K claims, totaling $2K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.64

Providers Billing

1

National Spending

$2K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

Related Procedures