57420
HCPCS Procedure Code
HCPCS code 57420 is the #5,098 most-billed Medicaid procedure code, with $292K in payments across 638 claims from 2018–2024. The national median cost per claim is $60.03. Costs vary widely — the 90th percentile is $758.01 per claim, 12.6× the median.
Total Paid
$292K
0.00% of all spending
Total Claims
638
Providers
8
Avg Cost/Claim
$458
National Cost Distribution
How much do providers bill per claim for 57420? Based on 8 providers billing this code nationally.
Median
$60.03
Average
$254.73
Std Dev
$398.35
Max
$1,114.93
Percentile Distribution (Cost per Claim)
50% of providers bill between $38.91 and $227.14 per claim for this code.
90% bill between $30.04 and $758.01.
Top 1% bill above $1,079.24.
About This Procedure
HCPCS code 57420 was billed by 8 providers across 638 claims, totaling $292K in Medicaid payments from 2018–2024. This code was used for 543 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$60.03
Providers Billing
8
National Spending
$292K
Avg/Median Ratio
4.24×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 57420
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1063489342 | $198K |
| 2 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $76K |
| 3 | 1467535450 | $6K |
| 4 | 1164736401 | $4K |
| 5 | 1306089206 | $3K |
| 6 | 1265524821 | $3K |
| 7 | 1316938921 | $1K |
| 8 | 1578587671 | $496 |
Showing top 8 of 8 providers billing this code