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#7644 of 11K

12041

HCPCS Procedure Code

HCPCS code 12041 is the #7,644 most-billed Medicaid procedure code, with $13K in payments across 102 claims from 2018–2024. The national median cost per claim is $121.74.

Total Paid

$13K

0.00% of all spending

Total Claims

102

Providers

2

Avg Cost/Claim

$125

National Cost Distribution

How much do providers bill per claim for 12041? Based on 2 providers billing this code nationally.

Median

$121.74

Average

$121.74

Std Dev

$71.72

Max

$172.45

Percentile Distribution (Cost per Claim)

p10
$81.17
p25
$96.39
Median
$121.74
p75
$147.10
p90
$162.31
p95
$167.38
p99
$171.44

50% of providers bill between $96.39 and $147.10 per claim for this code.

90% bill between $81.17 and $162.31.

Top 1% bill above $171.44.

About This Procedure

HCPCS code 12041 was billed by 2 providers across 102 claims, totaling $13K in Medicaid payments from 2018–2024. This code was used for 101 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$121.74

Providers Billing

2

National Spending

$13K

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.