12052
HCPCS Procedure Code
HCPCS code 12052 is the #7,323 most-billed Medicaid procedure code, with $21K in payments across 68 claims from 2018–2024. The national median cost per claim is $34.63. Costs vary widely — the 90th percentile is $498.12 per claim, 14.4× the median.
Total Paid
$21K
0.00% of all spending
Total Claims
68
Providers
4
Avg Cost/Claim
$310
National Cost Distribution
How much do providers bill per claim for 12052? Based on 4 providers billing this code nationally.
Median
$34.63
Average
$191.81
Std Dev
$333.47
Max
$691.39
Percentile Distribution (Cost per Claim)
50% of providers bill between $18.23 and $208.21 per claim for this code.
90% bill between $11.24 and $498.12.
Top 1% bill above $672.06.
About This Procedure
HCPCS code 12052 was billed by 4 providers across 68 claims, totaling $21K in Medicaid payments from 2018–2024. This code was used for 68 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$34.63
Providers Billing
4
National Spending
$21K
Avg/Median Ratio
5.54×
Highly skewed — outlier-driven
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.