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#1501 of 11K

E1012

HCPCS Procedure Code

HCPCS code E1012 is the #1,501 most-billed Medicaid procedure code, with $21.0M in payments across 61K claims from 2018–2024. The national median cost per claim is $491.22. Costs vary widely — the 90th percentile is $1,207.34 per claim, 2.5× the median.

Total Paid

$21.0M

0.00% of all spending

Total Claims

61K

Providers

107

Avg Cost/Claim

$342

National Cost Distribution

How much do providers bill per claim for E1012? Based on 105 providers billing this code nationally.

Median

$491.22

Average

$567.12

Std Dev

$447.09

Max

$2,372.44

Percentile Distribution (Cost per Claim)

p10
$89.04
p25
$272.66
Median
$491.22
p75
$713.78
p90
$1,207.34
p95
$1,555.43
p99
$1,760.20

50% of providers bill between $272.66 and $713.78 per claim for this code.

90% bill between $89.04 and $1,207.34.

Top 1% bill above $1,760.20.

About This Procedure

HCPCS code E1012 was billed by 107 providers across 61K claims, totaling $21.0M in Medicaid payments from 2018–2024. This code was used for 47K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$491.22

Providers Billing

105

National Spending

$21.0M

Avg/Median Ratio

1.15×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E1012

#ProviderTotal Paid
11639296817$3.3M
21114966181$1.5M
31184883472$1.3M
41043209794$1.2M
51790714624$901K
61851320774$870K
71487624193$795K
81891750691$788K
91487718250$782K
101932484979$576K
111568491496$563K
121518231547$537K
131538576509$499K
141568475341$484K
151003889684$455K
161841263621$396K
171538373998$359K
181346588225$303K
191215933791$284K
201093112435$274K

Showing top 20 of 107 providers billing this code