95012
HCPCS Procedure Code
HCPCS code 95012 is the #2,432 most-billed Medicaid procedure code, with $5.8M in payments across 418K claims from 2018–2024. The national median cost per claim is $10.98.
Total Paid
$5.8M
0.00% of all spending
Total Claims
418K
Providers
590
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for 95012? Based on 551 providers billing this code nationally.
Median
$10.98
Average
$13.25
Std Dev
$12.46
Max
$98.06
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.09 and $15.43 per claim for this code.
90% bill between $2.50 and $21.23.
Top 1% bill above $72.10.
About This Procedure
HCPCS code 95012 was billed by 590 providers across 418K claims, totaling $5.8M in Medicaid payments from 2018–2024. This code was used for 349K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$10.98
Providers Billing
551
National Spending
$5.8M
Avg/Median Ratio
1.21×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95012
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1144405762 | $848K |
| 2 | 1184048449 | $397K |
| 3 | Children's Hospital New Orleans, LA · General Acute Care Hospital Children | $238K |
| 4 | Texas Children's Hospital Houston, TX · General Acute Care Hospital Children | $226K |
| 5 | 1881785947 | $207K |
| 6 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $166K |
| 7 | 1336245828 | $115K |
| 8 | Christus Santa Rosa Health Care Corporation San Antonio, TX · General Acute Care Hospital | $108K |
| 9 | 1265596548 | $101K |
| 10 | 1629159538 | $83K |
| 11 | North Shore-lij Medical Pc Great Neck, NY · Urology | $83K |
| 12 | 1841573870 | $81K |
| 13 | 1306273768 | $77K |
| 14 | 1184789653 | $75K |
| 15 | 1346419710 | $69K |
| 16 | 1033274147 | $63K |
| 17 | 1770514945 | $62K |
| 18 | 1710922802 | $59K |
| 19 | 1356403042 | $59K |
| 20 | 1700165990 | $54K |
Showing top 20 of 590 providers billing this code