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#2957 of 11K

512

HCPCS Procedure Code

HCPCS code 512 is the #2,957 most-billed Medicaid procedure code, with $2.9M in payments across 13K claims from 2018–2024. The national median cost per claim is $162.73.

Total Paid

$2.9M

0.00% of all spending

Total Claims

13K

Providers

2

Avg Cost/Claim

$220

National Cost Distribution

How much do providers bill per claim for 512? Based on 2 providers billing this code nationally.

Median

$162.73

Average

$162.73

Std Dev

$81.24

Max

$220.17

Percentile Distribution (Cost per Claim)

p10
$116.77
p25
$134.00
Median
$162.73
p75
$191.45
p90
$208.68
p95
$214.43
p99
$219.02

50% of providers bill between $134.00 and $191.45 per claim for this code.

90% bill between $116.77 and $208.68.

Top 1% bill above $219.02.

About This Procedure

HCPCS code 512 was billed by 2 providers across 13K claims, totaling $2.9M in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$162.73

Providers Billing

2

National Spending

$2.9M

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.