20553
HCPCS Procedure Code
HCPCS code 20553 is the #1,157 most-billed Medicaid procedure code, with $36.3M in payments across 843K claims from 2018–2024. The national median cost per claim is $29.47. Costs vary widely — the 90th percentile is $83.53 per claim, 2.8× the median.
Total Paid
$36.3M
0.00% of all spending
Total Claims
843K
Providers
1K
Avg Cost/Claim
$43
National Cost Distribution
How much do providers bill per claim for 20553? Based on 1K providers billing this code nationally.
Median
$29.47
Average
$42.58
Std Dev
$55.62
Max
$920.09
Percentile Distribution (Cost per Claim)
50% of providers bill between $18.62 and $44.07 per claim for this code.
90% bill between $9.68 and $83.53.
Top 1% bill above $234.82.
About This Procedure
HCPCS code 20553 was billed by 1K providers across 843K claims, totaling $36.3M in Medicaid payments from 2018–2024. This code was used for 676K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$29.47
Providers Billing
1K
National Spending
$36.3M
Avg/Median Ratio
1.44×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 20553
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013268069 | $2.7M |
| 2 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $1.2M |
| 3 | 1083708226 | $972K |
| 4 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $746K |
| 5 | 1457319485 | $713K |
| 6 | 1275736829 | $649K |
| 7 | 1093819419 | $576K |
| 8 | 1962779520 | $519K |
| 9 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $493K |
| 10 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $477K |
| 11 | Akron General Medical Center Akron, OH · General Acute Care Hospital | $456K |
| 12 | 1346244126 | $452K |
| 13 | 1447226584 | $434K |
| 14 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $418K |
| 15 | 1679622112 | $418K |
| 16 | Truman Medical Center, Incorporated Kansas City, MO · General Acute Care Hospital | $417K |
| 17 | 1528448909 | $374K |
| 18 | 1215936927 | $373K |
| 19 | 1154889608 | $330K |
| 20 | 1700325677 | $327K |
Showing top 20 of 1K providers billing this code