#5233 of 11K

20606

HCPCS Procedure Code

HCPCS code 20606 is the #5,233 most-billed Medicaid procedure code, with $254K in payments across 5K claims from 2018–2024. The national median cost per claim is $39.94. Costs vary widely — the 90th percentile is $84.69 per claim, 2.1× the median.

Total Paid

$254K

0.00% of all spending

Total Claims

Providers

Avg Cost/Claim

$49

National Cost Distribution

How much do providers bill per claim for 20606? Based on 30 providers billing this code nationally.

Median

$39.94

Average

$51.95

Std Dev

$48.62

Max

$278.82

Percentile Distribution (Cost per Claim)

p10

$21.09

p25

$30.90

Median

$39.94

p75

$60.15

p90

$84.69

p95

$89.38

p99

$224.42

50% of providers bill between $30.90 and $60.15 per claim for this code.

90% bill between $21.09 and $84.69.

Top 1% bill above $224.42.

About This Procedure

HCPCS code 20606 was billed by 30 providers across 5K claims, totaling $254K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$39.94

Providers Billing

National Spending

$254K

Avg/Median Ratio

1.30×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 20606

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital	$45K	$278.82	7.0× median	Top 1%
2	1871531426	$43K	$43.62	1.1× median	Above Median
3	1710220561	$37K	$71.38	1.8× median	Above 75th
4	1033548581	$27K	$55.48	1.4× median	Above Median
5	1508877473	$25K	$33.55	0.8× median	Below Median
6	1184828451	$17K	$33.25	0.8× median	Below Median
7	1720094337	$16K	$34.26	0.9× median	Below Median
8	1942423579	$8K	$87.11	2.2× median	Top 10%
9	1225085855	$7K	$55.61	1.4× median	Above Median
10	1740228469	$6K	$84.42	2.1× median	Above 75th
11	1679741813	$4K	$41.52	1.0× median	Above Median
12	1366501546	$3K	$61.66	1.5× median	Above 75th
13	1508067208	$2K	$4.88	0.1× median	Below Median
14	1740856285	$2K	$28.74	0.7× median	Below Median
15	North Shore-lij Medical Pc Great Neck, NY · Urology	$1K	$91.24	2.3× median	Top 10%
16	1336209550	$1K	$44.51	1.1× median	Above Median
17	1639587504	$1K	$82.57	2.1× median	Above 75th
18	1508996653	$1K	$38.27	1.0× median	Below Median
19	1235561473	$1K	$22.70	0.6× median	Below Median
20	1073827101	$1K	$45.32	1.1× median	Above Median

Showing top 20 of 30 providers billing this code

Related Procedures

20610Arthrocentesis, aspiration/injection, major joint$212.5M 20611Aspiration or injection of intermediate joint or bursa$47.5M 20605$2.9M 20600$1.6M 20604$48K

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