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#4986 of 11K

20670

HCPCS Procedure Code

HCPCS code 20670 is the #4,986 most-billed Medicaid procedure code, with $327K in payments across 565 claims from 2018–2024. The national median cost per claim is $299.48. Costs vary widely — the 90th percentile is $1,645.11 per claim, 5.5× the median.

Total Paid

$327K

0.00% of all spending

Total Claims

565

Providers

5

Avg Cost/Claim

$579

National Cost Distribution

How much do providers bill per claim for 20670? Based on 5 providers billing this code nationally.

Median

$299.48

Average

$729.24

Std Dev

$922.09

Max

$2,350.24

Percentile Distribution (Cost per Claim)

p10
$185.60
p25
$299.23
Median
$299.48
p75
$587.43
p90
$1,645.11
p95
$1,997.68
p99
$2,279.73

50% of providers bill between $299.23 and $587.43 per claim for this code.

90% bill between $185.60 and $1,645.11.

Top 1% bill above $2,279.73.

About This Procedure

HCPCS code 20670 was billed by 5 providers across 565 claims, totaling $327K in Medicaid payments from 2018–2024. This code was used for 530 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$299.48

Providers Billing

5

National Spending

$327K

Avg/Median Ratio

2.44×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 20670

#ProviderTotal Paid
1Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$279K
2Seattle Children's Hospital

Seattle, WA · Prosthetic/Orthotic Supplier

$28K
31952401796$15K
41467633867$4K
51184828451$2K

Showing top 5 of 5 providers billing this code

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