Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#2600 of 11K

84112

HCPCS Procedure Code

HCPCS code 84112 is the #2,600 most-billed Medicaid procedure code, with $4.6M in payments across 126K claims from 2018–2024. The national median cost per claim is $31.88. Costs vary widely — the 90th percentile is $101.69 per claim, 3.2× the median.

Total Paid

$4.6M

0.00% of all spending

Total Claims

126K

Providers

433

Avg Cost/Claim

$37

National Cost Distribution

How much do providers bill per claim for 84112? Based on 381 providers billing this code nationally.

Median

$31.88

Average

$48.95

Std Dev

$57.24

Max

$327.33

Percentile Distribution (Cost per Claim)

p10
$2.34
p25
$8.08
Median
$31.88
p75
$70.45
p90
$101.69
p95
$145.60
p99
$306.46

50% of providers bill between $8.08 and $70.45 per claim for this code.

90% bill between $2.34 and $101.69.

Top 1% bill above $306.46.

About This Procedure

HCPCS code 84112 was billed by 433 providers across 126K claims, totaling $4.6M in Medicaid payments from 2018–2024. This code was used for 110K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$31.88

Providers Billing

381

National Spending

$4.6M

Avg/Median Ratio

1.54×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 84112

#ProviderTotal Paid
1Spartanburg Medical Center

Spartanburg, SC · Ambulance

$250K
21366496937$247K
31346519816$163K
4Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$148K
51427007384$147K
6Lee Memorial Health System

Ft Myers, FL · General Acute Care Hospital

$132K
71477599975$130K
8Baptist Healthcare System Inc

Corbin, KY · General Acute Care Hospital

$99K
91467448498$93K
10Owensboro Health Inc

Owensboro, KY · General Acute Care Hospital

$89K
111538244918$84K
121467496802$78K
13Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$78K
141689611501$74K
151144228446$71K
16Antelope Valley Health Care District

Lancaster, CA · General Acute Care Hospital

$70K
171639123284$67K
18Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$62K
191205889458$61K
201821099474$61K

Showing top 20 of 433 providers billing this code