12042
HCPCS Procedure Code
HCPCS code 12042 is the #8,644 most-billed Medicaid procedure code, with $2K in payments across 17 claims from 2018–2024. The national median cost per claim is $101.74.
Total Paid
$2K
0.00% of all spending
Total Claims
17
Providers
1
Avg Cost/Claim
$102
National Cost Distribution
How much do providers bill per claim for 12042? Based on 1 providers billing this code nationally.
Median
$101.74
Average
$101.74
Std Dev
—
Max
$101.74
Percentile Distribution (Cost per Claim)
50% of providers bill between $101.74 and $101.74 per claim for this code.
90% bill between $101.74 and $101.74.
Top 1% bill above $101.74.
About This Procedure
HCPCS code 12042 was billed by 1 providers across 17 claims, totaling $2K in Medicaid payments from 2018–2024. This code was used for 17 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$101.74
Providers Billing
1
National Spending
$2K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.