0121A
HCPCS Procedure Code
HCPCS code 0121A is the #5,551 most-billed Medicaid procedure code, with $177K in payments across 6K claims from 2018–2024. The national median cost per claim is $29.06.
Total Paid
$177K
0.00% of all spending
Total Claims
6K
Providers
68
Avg Cost/Claim
$31
National Cost Distribution
How much do providers bill per claim for 0121A? Based on 60 providers billing this code nationally.
Median
$29.06
Average
$34.31
Std Dev
$60.44
Max
$482.31
Percentile Distribution (Cost per Claim)
50% of providers bill between $15.74 and $37.65 per claim for this code.
90% bill between $6.96 and $42.11.
Top 1% bill above $237.28.
About This Procedure
HCPCS code 0121A was billed by 68 providers across 6K claims, totaling $177K in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$29.06
Providers Billing
60
National Spending
$177K
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0121A
| # | Provider | Total Paid |
|---|---|---|
| 1 | Zuni Indian Hospital Zuni, NM · General Acute Care Hospital | $37K |
| 2 | The Arizona Partnership For Immunization Phoenix, AZ · Local Education Agency (LEA) | $34K |
| 3 | 1275550212 | $15K |
| 4 | Richard Bone Chicago, IL · Internal Medicine, Gastroenterology | $11K |
| 5 | Aurora Medical Group, Inc. Milwaukee, WI · Internal Medicine | $8K |
| 6 | 1518963230 | $6K |
| 7 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $5K |
| 8 | 1194855155 | $5K |
| 9 | Permanente Medical Group Inc Stockton, CA · Anesthesiology | $4K |
| 10 | Presbyterian Healthcare Services Albuquerque, NM · Surgery | $4K |
| 11 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $3K |
| 12 | Cambridge Public Health Commission Cambridge, MA · General Acute Care Hospital | $3K |
| 13 | 1922051978 | $3K |
| 14 | 1831116441 | $2K |
| 15 | 1093090342 | $2K |
| 16 | 1427683176 | $2K |
| 17 | 1578625661 | $2K |
| 18 | 1265629133 | $2K |
| 19 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $2K |
| 20 | 1326695255 | $2K |
Showing top 20 of 68 providers billing this code