59020
HCPCS Procedure Code
HCPCS code 59020 is the #5,237 most-billed Medicaid procedure code, with $254K in payments across 9K claims from 2018–2024. The national median cost per claim is $27.59. Costs vary widely — the 90th percentile is $91.30 per claim, 3.3× the median.
Total Paid
$254K
0.00% of all spending
Total Claims
9K
Providers
32
Avg Cost/Claim
$28
National Cost Distribution
How much do providers bill per claim for 59020? Based on 31 providers billing this code nationally.
Median
$27.59
Average
$53.10
Std Dev
$68.01
Max
$317.65
Percentile Distribution (Cost per Claim)
50% of providers bill between $22.17 and $57.58 per claim for this code.
90% bill between $8.52 and $91.30.
Top 1% bill above $300.38.
About This Procedure
HCPCS code 59020 was billed by 32 providers across 9K claims, totaling $254K in Medicaid payments from 2018–2024. This code was used for 7K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$27.59
Providers Billing
31
National Spending
$254K
Avg/Median Ratio
1.92×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 59020
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1356655492 | $78K |
| 2 | 1245703719 | $35K |
| 3 | 1396795571 | $20K |
| 4 | 1952332991 | $15K |
| 5 | Medstar Washington Hospital Center Washington, DC · General Acute Care Hospital | $15K |
| 6 | 1841394418 | $12K |
| 7 | 1174744379 | $11K |
| 8 | 1578684726 | $11K |
| 9 | 1922184274 | $10K |
| 10 | 1245722883 | $7K |
| 11 | County Of Ventura Ventura, CA · Clinic/Center, Emergency Care | $6K |
| 12 | 1225032881 | $5K |
| 13 | 1184944662 | $5K |
| 14 | 1245420660 | $4K |
| 15 | Multicare Health System Tacoma, WA · Community/Behavioral Health | $4K |
| 16 | 1629233192 | $3K |
| 17 | Tucson Medical Center Tucson, AZ · Clinic/Center, Hearing and Speech | $2K |
| 18 | 1598040784 | $2K |
| 19 | 1942863667 | $1K |
| 20 | St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital | $1K |
Showing top 20 of 32 providers billing this code