1201Z
HCPCS Procedure Code
HCPCS code 1201Z is the #1,469 most-billed Medicaid procedure code, with $22.1M in payments across 225K claims from 2018–2024. The national median cost per claim is $81.57.
Total Paid
$22.1M
0.00% of all spending
Total Claims
225K
Providers
19
Avg Cost/Claim
$98
National Cost Distribution
How much do providers bill per claim for 1201Z? Based on 16 providers billing this code nationally.
Median
$81.57
Average
$99.01
Std Dev
$42.45
Max
$203.30
Percentile Distribution (Cost per Claim)
50% of providers bill between $72.84 and $117.88 per claim for this code.
90% bill between $64.39 and $152.58.
Top 1% bill above $197.54.
About This Procedure
HCPCS code 1201Z was billed by 19 providers across 225K claims, totaling $22.1M in Medicaid payments from 2018–2024. This code was used for 20K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$81.57
Providers Billing
16
National Spending
$22.1M
Avg/Median Ratio
1.21×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 1201Z
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1790118909 | $8.2M |
| 2 | 1679785513 | $4.6M |
| 3 | 1255890562 | $2.8M |
| 4 | 1629320494 | $1.6M |
| 5 | 1972633436 | $1.4M |
| 6 | 1518325893 | $753K |
| 7 | 1487875712 | $517K |
| 8 | 1619189941 | $474K |
| 9 | 1982821021 | $469K |
| 10 | 1184839953 | $360K |
| 11 | 1548511041 | $353K |
| 12 | 1467092502 | $250K |
| 13 | 1255546305 | $186K |
| 14 | 1740277094 | $40K |
| 15 | 1851796163 | $12K |
| 16 | 1154900215 | $9K |
| 17 | 1780824854 | $0 |
| 18 | 1811102361 | $0 |
| 19 | 1710192265 | $0 |
Showing top 19 of 19 providers billing this code