20605
HCPCS Procedure Code
HCPCS code 20605 is the #2,968 most-billed Medicaid procedure code, with $2.9M in payments across 92K claims from 2018–2024. The national median cost per claim is $26.39. Costs vary widely — the 90th percentile is $135.97 per claim, 5.2× the median.
Total Paid
$2.9M
0.00% of all spending
Total Claims
92K
Providers
276
Avg Cost/Claim
$31
National Cost Distribution
How much do providers bill per claim for 20605? Based on 273 providers billing this code nationally.
Median
$26.39
Average
$46.58
Std Dev
$62.38
Max
$507.34
Percentile Distribution (Cost per Claim)
50% of providers bill between $14.75 and $41.34 per claim for this code.
90% bill between $7.05 and $135.97.
Top 1% bill above $249.70.
About This Procedure
HCPCS code 20605 was billed by 276 providers across 92K claims, totaling $2.9M in Medicaid payments from 2018–2024. This code was used for 66K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$26.39
Providers Billing
273
National Spending
$2.9M
Avg/Median Ratio
1.77×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 20605
| # | Provider | Total Paid |
|---|---|---|
| 1 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $282K |
| 2 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $133K |
| 3 | 1609231158 | $118K |
| 4 | 1164442182 | $114K |
| 5 | Our Lady Of The Lake Hospital Inc. Baton Rouge, LA · General Acute Care Hospital | $113K |
| 6 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $95K |
| 7 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $91K |
| 8 | 1528462694 | $86K |
| 9 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $82K |
| 10 | Medstar Washington Hospital Center Washington, DC · General Acute Care Hospital | $77K |
| 11 | 1073177267 | $72K |
| 12 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $62K |
| 13 | Arthritis & Rheumatology Associates Of South Jersey Pc Vineland, NJ · Internal Medicine Rheumatology | $61K |
| 14 | 1407898299 | $61K |
| 15 | 1144412149 | $55K |
| 16 | 1821158569 | $49K |
| 17 | 1073880936 | $48K |
| 18 | 1023415288 | $47K |
| 19 | 1841846813 | $44K |
| 20 | 1033548581 | $39K |
Showing top 20 of 276 providers billing this code