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#7050 of 11K

1222Z

HCPCS Procedure Code

HCPCS code 1222Z is the #7,050 most-billed Medicaid procedure code, with $30K in payments across 1K claims from 2018–2024. The national median cost per claim is $19.09.

Total Paid

$30K

0.00% of all spending

Total Claims

1K

Providers

4

Avg Cost/Claim

$28

National Cost Distribution

How much do providers bill per claim for 1222Z? Based on 3 providers billing this code nationally.

Median

$19.09

Average

$21.79

Std Dev

$5.93

Max

$28.58

Percentile Distribution (Cost per Claim)

p10
$17.97
p25
$18.39
Median
$19.09
p75
$23.84
p90
$26.68
p95
$27.63
p99
$28.39

50% of providers bill between $18.39 and $23.84 per claim for this code.

90% bill between $17.97 and $26.68.

Top 1% bill above $28.39.

About This Procedure

HCPCS code 1222Z was billed by 4 providers across 1K claims, totaling $30K in Medicaid payments from 2018–2024. This code was used for 895 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$19.09

Providers Billing

3

National Spending

$30K

Avg/Median Ratio

1.14×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.