W4212
HCPCS Procedure Code
HCPCS code W4212 is the #8,863 most-billed Medicaid procedure code, with $947 in payments across 271 claims from 2018–2024. The national median cost per claim is $1.00. Costs vary widely — the 90th percentile is $16.20 per claim, 16.2× the median.
Total Paid
$947
0.00% of all spending
Total Claims
271
Providers
3
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for W4212? Based on 3 providers billing this code nationally.
Median
$1.00
Average
$7.32
Std Dev
$10.98
Max
$20.01
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.98 and $10.50 per claim for this code.
90% bill between $0.97 and $16.20.
Top 1% bill above $19.62.
About This Procedure
HCPCS code W4212 was billed by 3 providers across 271 claims, totaling $947 in Medicaid payments from 2018–2024. This code was used for 233 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1.00
Providers Billing
3
National Spending
$947
Avg/Median Ratio
7.32×
Highly skewed — outlier-driven
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.