#2920 of 11K

0720

HCPCS Procedure Code

HCPCS code 0720 is the #2,920 most-billed Medicaid procedure code, with $3.0M in payments across 82K claims from 2018–2024. The national median cost per claim is $40.36. Costs vary widely — the 90th percentile is $90.15 per claim, 2.2× the median.

Total Paid

$3.0M

0.00% of all spending

Total Claims

82K

Providers

Avg Cost/Claim

$37

National Cost Distribution

How much do providers bill per claim for 0720? Based on 36 providers billing this code nationally.

Median

$40.36

Average

$48.48

Std Dev

$31.42

Max

$154.41

Percentile Distribution (Cost per Claim)

p10

$23.62

p25

$35.55

Median

$40.36

p75

$52.23

p90

$90.15

p95

$117.40

p99

$142.39

50% of providers bill between $35.55 and $52.23 per claim for this code.

90% bill between $23.62 and $90.15.

Top 1% bill above $142.39.

About This Procedure

HCPCS code 0720 was billed by 56 providers across 82K claims, totaling $3.0M in Medicaid payments from 2018–2024. This code was used for 62K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$40.36

Providers Billing

National Spending

$3.0M

Avg/Median Ratio

1.20×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 0720

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital	$605K	$43.33	1.1× median	Above Median
2	1477596583	$305K	$46.96	1.2× median	Above Median
3	Community Hospital Of San Bernardino San Bernardino, CA · General Acute Care Hospital	$270K	$39.08	1.0× median	Below Median
4	1114081056	$249K	$36.15	0.9× median	Below Median
5	Dignity Health San Bernardino, CA · General Acute Care Hospital	$193K	$40.27	1.0× median	Below Median
6	1659359446	$183K	$35.65	0.9× median	Below Median
7	Loma Linda University Children's Hospital Loma Linda, CA · General Acute Care Hospital Children	$171K	$39.13	1.0× median	Below Median
8	1588663769	$167K	$47.22	1.2× median	Above Median
9	1194840421	$145K	$40.44	1.0× median	Above Median
10	County Of Ventura Ventura, CA · Clinic/Center, Emergency Care	$82K	$46.50	1.2× median	Above Median
11	1043354111	$65K	$37.57	0.9× median	Below Median
12	1972541498	$58K	$72.40	1.8× median	Above 75th
13	1871606269	$56K	$38.42	1.0× median	Below Median
14	1558410217	$54K	$120.08	3.0× median	Top 10%
15	1740215219	$53K	$23.87	0.6× median	Below Median
16	1417089350	$52K	$51.72	1.3× median	Above Median
17	1861409823	$49K	$57.80	1.4× median	Above 75th
18	1063412005	$36K	$116.51	2.9× median	Top 10%
19	1477610640	$32K	$23.57	0.6× median	Below Median
20	1831188275	$32K	$154.41	3.8× median	Top 1%

Showing top 20 of 56 providers billing this code

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