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

#5494 of 11K

41820

HCPCS Procedure Code

HCPCS code 41820 is the #5,494 most-billed Medicaid procedure code, with $188K in payments across 164 claims from 2018–2024. The national median cost per claim is $144.27. Costs vary widely — the 90th percentile is $1,528.39 per claim, 10.6× the median.

Total Paid

$188K

0.00% of all spending

Total Claims

164

Providers

3

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for 41820? Based on 3 providers billing this code nationally.

Median

$144.27

Average

$714.36

Std Dev

$1,004.69

Max

$1,874.42

Percentile Distribution (Cost per Claim)

p10
$128.37
p25
$134.33
Median
$144.27
p75
$1,009.34
p90
$1,528.39
p95
$1,701.40
p99
$1,839.81

50% of providers bill between $134.33 and $1,009.34 per claim for this code.

90% bill between $128.37 and $1,528.39.

Top 1% bill above $1,839.81.

About This Procedure

HCPCS code 41820 was billed by 3 providers across 164 claims, totaling $188K in Medicaid payments from 2018–2024. This code was used for 141 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$144.27

Providers Billing

3

National Spending

$188K

Avg/Median Ratio

4.95×

Highly skewed — outlier-driven

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

Related Procedures