Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#7747 of 11K

20939

HCPCS Procedure Code

HCPCS code 20939 is the #7,747 most-billed Medicaid procedure code, with $11K in payments across 266 claims from 2018–2024. The national median cost per claim is $28.13.

Total Paid

$11K

0.00% of all spending

Total Claims

266

Providers

5

Avg Cost/Claim

$41

National Cost Distribution

How much do providers bill per claim for 20939? Based on 5 providers billing this code nationally.

Median

$28.13

Average

$32.57

Std Dev

$21.55

Max

$55.02

Percentile Distribution (Cost per Claim)

p10
$11.74
p25
$26.80
Median
$28.13
p75
$51.21
p90
$53.49
p95
$54.26
p99
$54.86

50% of providers bill between $26.80 and $51.21 per claim for this code.

90% bill between $11.74 and $53.49.

Top 1% bill above $54.86.

About This Procedure

HCPCS code 20939 was billed by 5 providers across 266 claims, totaling $11K in Medicaid payments from 2018–2024. This code was used for 226 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$28.13

Providers Billing

5

National Spending

$11K

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 20939

#ProviderTotal Paid
11023079183$7K
21477582526$2K
31932264439$1K
4Community Medical Associates, Inc.

Louisville, KY · Clinical Neuropsychologist

$643
5Aurora Medical Group, Inc.

Milwaukee, WI · Internal Medicine

$49

Showing top 5 of 5 providers billing this code