0112A
HCPCS Procedure Code
HCPCS code 0112A is the #4,582 most-billed Medicaid procedure code, with $503K in payments across 12K claims from 2018–2024. The national median cost per claim is $40.00.
Total Paid
$503K
0.00% of all spending
Total Claims
12K
Providers
197
Avg Cost/Claim
$41
National Cost Distribution
How much do providers bill per claim for 0112A? Based on 190 providers billing this code nationally.
Median
$40.00
Average
$44.79
Std Dev
$45.93
Max
$642.13
Percentile Distribution (Cost per Claim)
50% of providers bill between $35.15 and $43.60 per claim for this code.
90% bill between $28.66 and $67.00.
Top 1% bill above $86.78.
About This Procedure
HCPCS code 0112A was billed by 197 providers across 12K claims, totaling $503K in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$40.00
Providers Billing
190
National Spending
$503K
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0112A
| # | Provider | Total Paid |
|---|---|---|
| 1 | Richard Bone Chicago, IL · Internal Medicine, Gastroenterology | $36K |
| 2 | Dhhs Phs Naihs Shiprock Hospital Shiprock, NM · General Acute Care Hospital | $31K |
| 3 | 1750443503 | $29K |
| 4 | Children's Hospital Corporation Boston, MA · Clinic/Center | $18K |
| 5 | Aurora Medical Group, Inc. Milwaukee, WI · Internal Medicine | $18K |
| 6 | Altamed Health Services Corp. Los Angeles, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $17K |
| 7 | Permanente Medical Group Inc Stockton, CA · Anesthesiology | $14K |
| 8 | Permanente Medical Group Inc Richmond, CA · Internal Medicine | $11K |
| 9 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $11K |
| 10 | 1144336181 | $10K |
| 11 | 1225179641 | $9K |
| 12 | 1992144380 | $8K |
| 13 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $7K |
| 14 | 1205881794 | $7K |
| 15 | Centro De Salud De La Comunidad De San Ysidro, Inc. San Ysidro, CA · Clinic/Center, Federally Qualified Health Center (FQHC) | $7K |
| 16 | 1306948070 | $7K |
| 17 | Presbyterian Healthcare Services Albuquerque, NM · Surgery | $6K |
| 18 | 1124013230 | $6K |
| 19 | 1952386153 | $6K |
| 20 | Southern California Permanente Medical Group San Diego, CA · Health Maintenance Organization | $6K |
Showing top 20 of 197 providers billing this code