78812
HCPCS Procedure Code
HCPCS code 78812 is the #3,318 most-billed Medicaid procedure code, with $1.9M in payments across 6K claims from 2018–2024. The national median cost per claim is $256.64. Costs vary widely — the 90th percentile is $2,463.81 per claim, 9.6× the median.
Total Paid
$1.9M
0.00% of all spending
Total Claims
6K
Providers
12
Avg Cost/Claim
$338
National Cost Distribution
How much do providers bill per claim for 78812? Based on 12 providers billing this code nationally.
Median
$256.64
Average
$781.50
Std Dev
$1,349.60
Max
$4,386.63
Percentile Distribution (Cost per Claim)
50% of providers bill between $45.41 and $564.67 per claim for this code.
90% bill between $33.01 and $2,463.81.
Top 1% bill above $4,196.10.
About This Procedure
HCPCS code 78812 was billed by 12 providers across 6K claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$256.64
Providers Billing
12
National Spending
$1.9M
Avg/Median Ratio
3.05×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 78812
| # | Provider | Total Paid |
|---|---|---|
| 1 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $1.3M |
| 2 | 1689772592 | $175K |
| 3 | 1639278369 | $110K |
| 4 | 1740283324 | $96K |
| 5 | 1639172372 | $93K |
| 6 | 1801874573 | $65K |
| 7 | 1366495988 | $22K |
| 8 | 1477624104 | $22K |
| 9 | 1164493847 | $20K |
| 10 | 1164512851 | $19K |
| 11 | 1487730594 | $575 |
| 12 | 1154335487 | $70 |
Showing top 12 of 12 providers billing this code