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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1639296817 | $3.3M |
| 2 | 1114966181 | $1.5M |
| 3 | 1184883472 | $1.3M |
| 4 | 1043209794 | $1.2M |
| 5 | 1790714624 | $901K |
| 6 | 1851320774 | $870K |
| 7 | 1487624193 | $795K |
| 8 | 1891750691 | $788K |
| 9 | 1487718250 | $782K |
| 10 | 1932484979 | $576K |
| 11 | 1568491496 | $563K |
| 12 | 1518231547 | $537K |
| 13 | 1538576509 | $499K |
| 14 | 1568475341 | $484K |
| 15 | 1003889684 | $455K |
| 16 | 1841263621 | $396K |
| 17 | 1538373998 | $359K |
| 18 | 1346588225 | $303K |
| 19 | 1215933791 | $284K |
| 20 | 1093112435 | $274K |
Showing top 20 of 107 providers billing this code