4120F
HCPCS Procedure Code
HCPCS code 4120F is the #7,174 most-billed Medicaid procedure code, with $26K in payments across 50K claims from 2018–2024. The national median cost per claim is $2.21. Costs vary widely — the 90th percentile is $18.21 per claim, 8.2× the median.
Total Paid
$26K
0.00% of all spending
Total Claims
50K
Providers
90
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for 4120F? Based on 4 providers billing this code nationally.
Median
$2.21
Average
$7.37
Std Dev
$11.82
Max
$25.03
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.60 and $7.98 per claim for this code.
90% bill between $0.65 and $18.21.
Top 1% bill above $24.35.
About This Procedure
HCPCS code 4120F was billed by 90 providers across 50K claims, totaling $26K in Medicaid payments from 2018–2024. This code was used for 48K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.21
Providers Billing
4
National Spending
$26K
Avg/Median Ratio
3.33×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 4120F
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1770697278 | $20K |
| 2 | 1215940796 | $5K |
| 3 | 1134117393 | $614 |
| 4 | 1073512836 | $94 |
| 5 | 1568098887 | $0 |
| 6 | 1952541963 | $0 |
| 7 | 1548745383 | $0 |
| 8 | 1053845636 | $0 |
| 9 | 1487660486 | $0 |
| 10 | 1346337821 | $0 |
| 11 | 1457470858 | $0 |
| 12 | 1457892044 | $0 |
| 13 | 1942606454 | $0 |
| 14 | 1578633533 | $0 |
| 15 | 1598825366 | $0 |
| 16 | 1780295741 | $0 |
| 17 | 1366828303 | $0 |
| 18 | 1770980385 | $0 |
| 19 | 1568704237 | $0 |
| 20 | 1376745166 | $0 |
Showing top 20 of 90 providers billing this code