T2012
Habilitation, educational; per 15 min
Habilitation, educational; per 15 min is the #195 most-billed Medicaid procedure code, with $874.0M in payments across 4.8M claims from 2018–2024. The national median cost per claim is $177.54.
Total Paid
$874.0M
0.08% of all spending
Total Claims
4.8M
Providers
130
Avg Cost/Claim
$180
National Cost Distribution
How much do providers bill per claim for T2012? Based on 129 providers billing this code nationally.
Median
$177.54
Average
$181.95
Std Dev
$58.53
Max
$676.40
Percentile Distribution (Cost per Claim)
50% of providers bill between $157.76 and $200.73 per claim for this code.
90% bill between $130.66 and $217.90.
Top 1% bill above $283.31.
About This Procedure
HCPCS code T2012 (Habilitation, educational; per 15 min) was billed by 130 providers across 4.8M claims, totaling $874.0M in Medicaid payments from 2018–2024. This code was used for 177K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$177.54
Providers Billing
129
National Spending
$874.0M
Avg/Median Ratio
1.02×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for T2012
| # | Provider | Total Paid |
|---|---|---|
| 1 | Department Of Intellectual And Developmental Disabilities, State Of Tn Nashville, TN · Public Health or Welfare | $135.2M |
| 2 | Abound Health, Llc Mint Hill, NC · In Home Supportive Care | $55.8M |
| 3 | Abound Health Llc Mint Hill, NC · Community/Behavioral Health | $44.9M |
| 4 | Lindley Habilitation Services Inc Greensboro, NC · Community/Behavioral Health | $35.5M |
| 5 | Universal Mental Health Services Inc. Lenoir, NC · Community/Behavioral Health | $26.4M |
| 6 | A Caring Heart Case Management, Inc. Wilson, NC · Case Management | $25.2M |
| 7 | Acumen Fiscal Agent Llc Mesa, AZ · Community/Behavioral Health | $23.1M |
| 8 | 1720187420 | $21.8M |
| 9 | 1851539126 | $21.0M |
| 10 | 1982921227 | $19.8M |
| 11 | 1922125244 | $17.7M |
| 12 | Department Of Intellectual And Developmental Disabilities, State Of Tn Nashville, TN · Public Health or Welfare | $15.8M |
| 13 | 1669541538 | $15.6M |
| 14 | 1063798031 | $15.1M |
| 15 | 1821100942 | $14.6M |
| 16 | 1396811618 | $14.1M |
| 17 | 1922298942 | $12.7M |
| 18 | 1881751865 | $11.2M |
| 19 | 1477939916 | $10.5M |
| 20 | 1619245552 | $10.5M |
Showing top 20 of 130 providers billing this code