520
HCPCS Procedure Code
HCPCS code 520 is the #5,390 most-billed Medicaid procedure code, with $211K in payments across 976 claims from 2018–2024. The national median cost per claim is $221.51.
Total Paid
$211K
0.00% of all spending
Total Claims
976
Providers
3
Avg Cost/Claim
$216
National Cost Distribution
How much do providers bill per claim for 520? Based on 3 providers billing this code nationally.
Median
$221.51
Average
$213.32
Std Dev
$16.37
Max
$223.97
Percentile Distribution (Cost per Claim)
50% of providers bill between $207.99 and $222.74 per claim for this code.
90% bill between $199.88 and $223.48.
Top 1% bill above $223.92.
About This Procedure
HCPCS code 520 was billed by 3 providers across 976 claims, totaling $211K in Medicaid payments from 2018–2024. This code was used for 866 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$221.51
Providers Billing
3
National Spending
$211K
Avg/Median Ratio
0.96×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.