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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1093767766 | $90K |
| 2 | 1528010428 | $83K |
| 3 | 1427093863 | $56K |
| 4 | 1689779480 | $37K |
| 5 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $30K |
| 6 | 1093768723 | $23K |
| 7 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $21K |
| 8 | 1457666828 | $15K |
| 9 | 1457389033 | $15K |
| 10 | 1477068971 | $15K |
| 11 | Texas Children's Physician Group Houston, TX · Pediatrics | $13K |
| 12 | 1548433048 | $9K |
| 13 | 1801869250 | $8K |
| 14 | 1417965799 | $6K |
| 15 | 1558392977 | $5K |
| 16 | 1831115153 | $5K |
| 17 | 1194817510 | $4K |
| 18 | Vanderbilt University Medical Center Nashville, TN · Transplant Surgery | $4K |
| 19 | 1720087802 | $4K |
| 20 | 1336530997 | $4K |
Showing top 20 of 30 providers billing this code