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#6152 of 11K

1220F

HCPCS Procedure Code

HCPCS code 1220F is the #6,152 most-billed Medicaid procedure code, with $90K in payments across 1.8M claims from 2018–2024. The national median cost per claim is $0.01. Costs vary widely — the 90th percentile is $1.46 per claim, 146.0× the median.

Total Paid

$90K

0.00% of all spending

Total Claims

1.8M

Providers

1,482

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 1220F? Based on 160 providers billing this code nationally.

Median

$0.01

Average

$1.23

Std Dev

$8.80

Max

$109.65

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.01
p75
$0.27
p90
$1.46
p95
$3.25
p99
$11.99

50% of providers bill between $0.00 and $0.27 per claim for this code.

90% bill between $0.00 and $1.46.

Top 1% bill above $11.99.

About This Procedure

HCPCS code 1220F was billed by 1,482 providers across 1.8M claims, totaling $90K in Medicaid payments from 2018–2024. This code was used for 1.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.01

Providers Billing

160

National Spending

$90K

Avg/Median Ratio

123.00×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 1220F

#ProviderTotal Paid
11215940796$14K
21770697278$11K
31790745172$9K
41215037379$9K
51841683067$8K
61891775128$6K
71558344689$6K
81952335630$4K
91922155217$2K
101902972516$2K
111053427344$2K
121629493135$1K
131174591200$1K
141700886322$1K
151902242076$998
161538441761$847
171093253890$697
181972603165$448
191295928489$442
201336152347$433

Showing top 20 of 1,482 providers billing this code