20561
HCPCS Procedure Code
HCPCS code 20561 is the #5,162 most-billed Medicaid procedure code, with $272K in payments across 14K claims from 2018–2024. The national median cost per claim is $21.32.
Total Paid
$272K
0.00% of all spending
Total Claims
14K
Providers
50
Avg Cost/Claim
$19
National Cost Distribution
How much do providers bill per claim for 20561? Based on 40 providers billing this code nationally.
Median
$21.32
Average
$21.09
Std Dev
$16.95
Max
$94.94
Percentile Distribution (Cost per Claim)
50% of providers bill between $12.73 and $28.68 per claim for this code.
90% bill between $0.51 and $35.05.
Top 1% bill above $74.01.
About This Procedure
HCPCS code 20561 was billed by 50 providers across 14K claims, totaling $272K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$21.32
Providers Billing
40
National Spending
$272K
Avg/Median Ratio
0.99×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 20561
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1851831085 | $59K |
| 2 | 1578677548 | $47K |
| 3 | 1174652580 | $31K |
| 4 | 1124276217 | $22K |
| 5 | 1154797157 | $17K |
| 6 | Hartford Hospital Hartford, CT · General Acute Care Hospital | $16K |
| 7 | 1427298140 | $13K |
| 8 | 1831650654 | $11K |
| 9 | 1568063352 | $7K |
| 10 | 1407126303 | $6K |
| 11 | 1487796793 | $6K |
| 12 | 1326229287 | $6K |
| 13 | 1033710827 | $3K |
| 14 | 1154454650 | $3K |
| 15 | 1023610763 | $3K |
| 16 | 1457027336 | $2K |
| 17 | 1376146639 | $2K |
| 18 | District Hospital Partners L P Washington, DC · Nurse Practitioner, Family | $2K |
| 19 | 1811467517 | $2K |
| 20 | 1053973644 | $2K |
Showing top 20 of 50 providers billing this code