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#4650 of 11K

01920

HCPCS Procedure Code

HCPCS code 01920 is the #4,650 most-billed Medicaid procedure code, with $469K in payments across 4K claims from 2018–2024. The national median cost per claim is $172.45.

Total Paid

$469K

0.00% of all spending

Total Claims

4K

Providers

30

Avg Cost/Claim

$125

National Cost Distribution

How much do providers bill per claim for 01920? Based on 29 providers billing this code nationally.

Median

$172.45

Average

$207.32

Std Dev

$127.83

Max

$632.31

Percentile Distribution (Cost per Claim)

p10
$83.95
p25
$109.69
Median
$172.45
p75
$263.35
p90
$344.80
p95
$387.93
p99
$565.73

50% of providers bill between $109.69 and $263.35 per claim for this code.

90% bill between $83.95 and $344.80.

Top 1% bill above $565.73.

About This Procedure

HCPCS code 01920 was billed by 30 providers across 4K claims, totaling $469K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$172.45

Providers Billing

29

National Spending

$469K

Avg/Median Ratio

1.20×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 01920

#ProviderTotal Paid
11093767766$90K
21528010428$83K
31427093863$56K
41689779480$37K
5Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$30K
61093768723$23K
7State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$21K
81457666828$15K
91457389033$15K
101477068971$15K
11Texas Children's Physician Group

Houston, TX · Pediatrics

$13K
121548433048$9K
131801869250$8K
141417965799$6K
151558392977$5K
161831115153$5K
171194817510$4K
18Vanderbilt University Medical Center

Nashville, TN · Transplant Surgery

$4K
191720087802$4K
201336530997$4K

Showing top 20 of 30 providers billing this code