58120
HCPCS Procedure Code
HCPCS code 58120 is the #4,728 most-billed Medicaid procedure code, with $430K in payments across 2,604 claims from 2018–2024. The national median cost per claim is $99.40. Costs vary widely — the 90th percentile is $233.51 per claim, 2.3× the median.
Total Paid
$430K
0.00% of all spending
Total Claims
2,604
Providers
20
Avg Cost/Claim
$165
National Cost Distribution
How much do providers bill per claim for 58120? Based on 18 providers billing this code nationally.
Median
$99.40
Average
$152.53
Std Dev
$167.43
Max
$775.58
Percentile Distribution (Cost per Claim)
50% of providers bill between $74.53 and $157.17 per claim for this code.
90% bill between $50.88 and $233.51.
Top 1% bill above $689.13.
About This Procedure
HCPCS code 58120 was billed by 20 providers across 2,604 claims, totaling $430K in Medicaid payments from 2018–2024. This code was used for 2,040 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$99.40
Providers Billing
18
National Spending
$430K
Avg/Median Ratio
1.53×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 58120
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1164848453 | $246K |
| 2 | 1679635031 | $75K |
| 3 | 1801196498 | $48K |
| 4 | 1073505764 | $16K |
| 5 | 1649237827 | $11K |
| 6 | 1629107636 | $5K |
| 7 | 1316948540 | $4K |
| 8 | 1114022431 | $4K |
| 9 | 1023308145 | $3K |
| 10 | 1457482192 | $3K |
| 11 | 1427042332 | $3K |
| 12 | 1598924458 | $3K |
| 13 | 1841402914 | $2K |
| 14 | 1801874565 | $2K |
| 15 | 1912334533 | $2K |
| 16 | 1598807539 | $2K |
| 17 | 1225230592 | $1K |
| 18 | 1336245802 | $1K |
| 19 | 1831193499 | $0 |
| 20 | 1871065516 | $0 |
Showing top 20 of 20 providers billing this code