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#6802 of 11K

12021

HCPCS Procedure Code

HCPCS code 12021 is the #6,802 most-billed Medicaid procedure code, with $42K in payments across 455 claims from 2018–2024. The national median cost per claim is $96.16.

Total Paid

$42K

0.00% of all spending

Total Claims

455

Providers

2

Avg Cost/Claim

$93

National Cost Distribution

How much do providers bill per claim for 12021? Based on 2 providers billing this code nationally.

Median

$96.16

Average

$96.16

Std Dev

$9.96

Max

$103.20

Percentile Distribution (Cost per Claim)

p10
$90.52
p25
$92.64
Median
$96.16
p75
$99.68
p90
$101.79
p95
$102.50
p99
$103.06

50% of providers bill between $92.64 and $99.68 per claim for this code.

90% bill between $90.52 and $101.79.

Top 1% bill above $103.06.

About This Procedure

HCPCS code 12021 was billed by 2 providers across 455 claims, totaling $42K in Medicaid payments from 2018–2024. This code was used for 184 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$96.16

Providers Billing

2

National Spending

$42K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.