00520
HCPCS Procedure Code
HCPCS code 00520 is the #4,289 most-billed Medicaid procedure code, with $692K in payments across 12K claims from 2018–2024. The national median cost per claim is $71.39. Costs vary widely — the 90th percentile is $155.74 per claim, 2.2× the median.
Total Paid
$692K
0.00% of all spending
Total Claims
12K
Providers
55
Avg Cost/Claim
$60
National Cost Distribution
How much do providers bill per claim for 00520? Based on 50 providers billing this code nationally.
Median
$71.39
Average
$87.34
Std Dev
$59.17
Max
$280.49
Percentile Distribution (Cost per Claim)
50% of providers bill between $48.19 and $120.18 per claim for this code.
90% bill between $22.58 and $155.74.
Top 1% bill above $252.46.
About This Procedure
HCPCS code 00520 was billed by 55 providers across 12K claims, totaling $692K in Medicaid payments from 2018–2024. This code was used for 8,697 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$71.39
Providers Billing
50
National Spending
$692K
Avg/Median Ratio
1.22×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 00520
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1871986372 | $102K |
| 2 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $94K |
| 3 | 1093767766 | $83K |
| 4 | 1225016926 | $73K |
| 5 | 1972126209 | $71K |
| 6 | 1669581997 | $35K |
| 7 | 1487609475 | $24K |
| 8 | 1417994872 | $21K |
| 9 | 1053366377 | $21K |
| 10 | 1558391763 | $19K |
| 11 | 1437292927 | $15K |
| 12 | 1497797153 | $15K |
| 13 | 1346267267 | $10K |
| 14 | 1003989690 | $9K |
| 15 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $8K |
| 16 | Banner-university Medical Group Phoenix, AZ · Clinic/Center, Primary Care | $8K |
| 17 | 1528010428 | $8K |
| 18 | 1558314427 | $8K |
| 19 | 1194488791 | $6K |
| 20 | 1629544622 | $6K |
Showing top 20 of 55 providers billing this code