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#7005 of 11K

00220

HCPCS Procedure Code

HCPCS code 00220 is the #7,005 most-billed Medicaid procedure code, with $32K in payments across 253 claims from 2018–2024. The national median cost per claim is $119.41.

Total Paid

$32K

0.00% of all spending

Total Claims

253

Providers

3

Avg Cost/Claim

$128

National Cost Distribution

How much do providers bill per claim for 00220? Based on 3 providers billing this code nationally.

Median

$119.41

Average

$125.14

Std Dev

$15.34

Max

$142.52

Percentile Distribution (Cost per Claim)

p10
$114.68
p25
$116.45
Median
$119.41
p75
$130.96
p90
$137.90
p95
$140.21
p99
$142.06

50% of providers bill between $116.45 and $130.96 per claim for this code.

90% bill between $114.68 and $137.90.

Top 1% bill above $142.06.

About This Procedure

HCPCS code 00220 was billed by 3 providers across 253 claims, totaling $32K in Medicaid payments from 2018–2024. This code was used for 193 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$119.41

Providers Billing

3

National Spending

$32K

Avg/Median Ratio

1.05×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.