0412
HCPCS Procedure Code
HCPCS code 0412 is the #7,319 most-billed Medicaid procedure code, with $21K in payments across 5K claims from 2018–2024. The national median cost per claim is $13.73. Costs vary widely — the 90th percentile is $29.43 per claim, 2.1× the median.
Total Paid
$21K
0.00% of all spending
Total Claims
5K
Providers
23
Avg Cost/Claim
$4
National Cost Distribution
How much do providers bill per claim for 0412? Based on 9 providers billing this code nationally.
Median
$13.73
Average
$16.62
Std Dev
$11.13
Max
$39.27
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.33 and $18.89 per claim for this code.
90% bill between $7.00 and $29.43.
Top 1% bill above $38.28.
About This Procedure
HCPCS code 0412 was billed by 23 providers across 5K claims, totaling $21K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.73
Providers Billing
9
National Spending
$21K
Avg/Median Ratio
1.21×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0412
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1871010280 | $9K |
| 2 | 1629377452 | $6K |
| 3 | 1194840421 | $2K |
| 4 | 1487697215 | $2K |
| 5 | 1336163898 | $818 |
| 6 | 1841217866 | $756 |
| 7 | 1326065103 | $384 |
| 8 | 1174911317 | $179 |
| 9 | 1760510937 | $43 |
| 10 | Desert Valley Hospital Llc Victorville, CA · General Acute Care Hospital | $0 |
| 11 | 1811129752 | $0 |
| 12 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $0 |
| 13 | 1689732885 | $0 |
| 14 | 1154428688 | $0 |
| 15 | 1275578817 | $0 |
| 16 | Port City Operating Company Llc Stockton, CA · General Acute Care Hospital | $0 |
| 17 | 1336328244 | $0 |
| 18 | 1477502797 | $0 |
| 19 | 1114081056 | $0 |
| 20 | 1518951300 | $0 |
Showing top 20 of 23 providers billing this code