0120
HCPCS Procedure Code
HCPCS code 0120 is the #538 most-billed Medicaid procedure code, with $157.8M in payments across 23K claims from 2018–2024. The national median cost per claim is $5,968.57.
Total Paid
$157.8M
0.01% of all spending
Total Claims
23K
Providers
41
Avg Cost/Claim
$7K
National Cost Distribution
How much do providers bill per claim for 0120? Based on 31 providers billing this code nationally.
Median
$5,968.57
Average
$6,943.47
Std Dev
$5,280.73
Max
$25,140.79
Percentile Distribution (Cost per Claim)
50% of providers bill between $3,859.93 and $8,408.16 per claim for this code.
90% bill between $2,318.33 and $10,591.30.
Top 1% bill above $23,568.21.
About This Procedure
HCPCS code 0120 was billed by 41 providers across 23K claims, totaling $157.8M in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5,968.57
Providers Billing
31
National Spending
$157.8M
Avg/Median Ratio
1.16×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0120
| # | Provider | Total Paid |
|---|---|---|
| 1 | Central Valley Specialty Hospital Inc Modesto, CA · General Acute Care Hospital | $103.2M |
| 2 | 1487681631 | $18.8M |
| 3 | 1689742785 | $5.9M |
| 4 | 1134101348 | $4.6M |
| 5 | 1205839081 | $3.7M |
| 6 | 1306269386 | $2.9M |
| 7 | 1578559480 | $2.7M |
| 8 | 1710066634 | $2.5M |
| 9 | 1568447068 | $2.4M |
| 10 | 1558532465 | $1.9M |
| 11 | 1659482032 | $1.6M |
| 12 | Kaiser Foundation Health Plan Inc Oakland, CA · Health Maintenance Organization | $893K |
| 13 | 1063938470 | $868K |
| 14 | 1396813465 | $816K |
| 15 | 1225554645 | $721K |
| 16 | 1699840231 | $710K |
| 17 | 1558717579 | $617K |
| 18 | 1538244405 | $423K |
| 19 | 1932129731 | $403K |
| 20 | 1184628919 | $278K |
Showing top 20 of 41 providers billing this code