#3790 of 11K

00120

HCPCS Procedure Code

HCPCS code 00120 is the #3,790 most-billed Medicaid procedure code, with $1.2M in payments across 14K claims from 2018–2024. The national median cost per claim is $94.89. Costs vary widely — the 90th percentile is $270.43 per claim, 2.8× the median.

Total Paid

$1.2M

0.00% of all spending

Total Claims

14K

Providers

Avg Cost/Claim

$83

National Cost Distribution

How much do providers bill per claim for 00120? Based on 54 providers billing this code nationally.

Median

$94.89

Average

$123.41

Std Dev

$106.21

Max

$536.58

Percentile Distribution (Cost per Claim)

p10

$18.42

p25

$53.57

Median

$94.89

p75

$152.35

p90

$270.43

p95

$326.76

p99

$435.10

50% of providers bill between $53.57 and $152.35 per claim for this code.

90% bill between $18.42 and $270.43.

Top 1% bill above $435.10.

About This Procedure

HCPCS code 00120 was billed by 58 providers across 14K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$94.89

Providers Billing

National Spending

$1.2M

Avg/Median Ratio

1.30×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 00120

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1225016926	$121K	$76.23	0.8× median	Below Median
2	1346267267	$115K	$239.29	2.5× median	Above 75th
3	1093767766	$91K	$108.75	1.1× median	Above Median
4	1942459672	$70K	$70.52	0.7× median	Below Median
5	1801891718	$69K	$109.52	1.2× median	Above Median
6	1639813447	$61K	$74.30	0.8× median	Below Median
7	1275905796	$57K	$65.28	0.7× median	Below Median
8	1548208127	$55K	$56.11	0.6× median	Below Median
9	1558314427	$53K	$152.47	1.6× median	Above 75th
10	1164407987	$48K	$345.11	3.6× median	Top 10%
11	1427093863	$46K	$89.96	0.9× median	Below Median
12	1740436773	$45K	$273.70	2.9× median	Top 10%
13	1003824608	$40K	$25.09	0.3× median	Below Median
14	Johns Hopkins All Children's Hospital Inc St Petersburg, FL · General Acute Care Hospital Children	$31K	$200.00	2.1× median	Above 75th
15	Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care	$25K	$112.13	1.2× median	Above Median
16	1568893626	$25K	$191.72	2.0× median	Above 75th
17	Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children	$23K	$47.80	0.5× median	Below Median
18	1669571568	$19K	$262.80	2.8× median	Above 75th
19	1285963405	$17K	$256.46	2.7× median	Above 75th
20	1487609475	$14K	$66.85	0.7× median	Below Median

Showing top 20 of 58 providers billing this code

Related Procedures

0121Revenue code, all-inclusive room and board$195.0M 0120$157.8M 0111$41.2M 0128Insertion of brain-computer interface$39.6M 0123$29.7M

← All procedures Top providers →