0920
HCPCS Procedure Code
HCPCS code 0920 is the #8,056 most-billed Medicaid procedure code, with $7K in payments across 7K claims from 2018–2024. The national median cost per claim is $4.05. Costs vary widely — the 90th percentile is $17.28 per claim, 4.3× the median.
Total Paid
$7K
0.00% of all spending
Total Claims
7K
Providers
7
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for 0920? Based on 3 providers billing this code nationally.
Median
$4.05
Average
$8.29
Std Dev
$10.82
Max
$20.58
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.14 and $12.31 per claim for this code.
90% bill between $1.00 and $17.28.
Top 1% bill above $20.25.
About This Procedure
HCPCS code 0920 was billed by 7 providers across 7K claims, totaling $7K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4.05
Providers Billing
3
National Spending
$7K
Avg/Median Ratio
2.05×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0920
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1194711952 | $6K |
| 2 | 1336328244 | $920 |
| 3 | 1760510937 | $247 |
| 4 | Desert Valley Hospital Llc Victorville, CA · General Acute Care Hospital | $0 |
| 5 | 1811080526 | $0 |
| 6 | 1205951738 | $0 |
| 7 | University Of California Irvine Orange, CA · General Acute Care Hospital | $0 |
Showing top 7 of 7 providers billing this code