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#2102 of 11K

1220Z

HCPCS Procedure Code

HCPCS code 1220Z is the #2,102 most-billed Medicaid procedure code, with $9.0M in payments across 601K claims from 2018–2024. The national median cost per claim is $10.15. Costs vary widely — the 90th percentile is $29.17 per claim, 2.9× the median.

Total Paid

$9.0M

0.00% of all spending

Total Claims

601K

Providers

7

Avg Cost/Claim

$15

National Cost Distribution

How much do providers bill per claim for 1220Z? Based on 7 providers billing this code nationally.

Median

$10.15

Average

$16.31

Std Dev

$10.86

Max

$33.46

Percentile Distribution (Cost per Claim)

p10
$7.00
p25
$8.99
Median
$10.15
p75
$24.04
p90
$29.17
p95
$31.31
p99
$33.03

50% of providers bill between $8.99 and $24.04 per claim for this code.

90% bill between $7.00 and $29.17.

Top 1% bill above $33.03.

About This Procedure

HCPCS code 1220Z was billed by 7 providers across 601K claims, totaling $9.0M in Medicaid payments from 2018–2024. This code was used for 38K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.15

Providers Billing

7

National Spending

$9.0M

Avg/Median Ratio

1.61×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 1220Z

#ProviderTotal Paid
1Purfoods Llc

Ankeny, IA · Home Delivered Meals

$2.9M
21790118909$2.8M
31902017775$1.8M
41376686402$957K
51437136728$270K
61629320494$209K
71740481944$153K

Showing top 7 of 7 providers billing this code