65820
HCPCS Procedure Code
HCPCS code 65820 is the #4,430 most-billed Medicaid procedure code, with $597K in payments across 3,162 claims from 2018–2024. The national median cost per claim is $158.84. Costs vary widely — the 90th percentile is $332.53 per claim, 2.1× the median.
Total Paid
$597K
0.00% of all spending
Total Claims
3,162
Providers
20
Avg Cost/Claim
$189
National Cost Distribution
How much do providers bill per claim for 65820? Based on 19 providers billing this code nationally.
Median
$158.84
Average
$190.64
Std Dev
$170.14
Max
$756.11
Percentile Distribution (Cost per Claim)
50% of providers bill between $95.22 and $197.62 per claim for this code.
90% bill between $53.66 and $332.53.
Top 1% bill above $698.94.
About This Procedure
HCPCS code 65820 was billed by 20 providers across 3,162 claims, totaling $597K in Medicaid payments from 2018–2024. This code was used for 2,427 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$158.84
Providers Billing
19
National Spending
$597K
Avg/Median Ratio
1.20×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 65820
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1699078030 | $202K |
| 2 | 1649218009 | $161K |
| 3 | 1730180084 | $58K |
| 4 | 1184736357 | $32K |
| 5 | 1851332241 | $27K |
| 6 | 1518606433 | $25K |
| 7 | 1679728901 | $23K |
| 8 | 1376593863 | $15K |
| 9 | 1427116367 | $12K |
| 10 | 1508810656 | $11K |
| 11 | 1457593980 | $7K |
| 12 | 1699944298 | $5K |
| 13 | 1548356454 | $5K |
| 14 | 1437558202 | $5K |
| 15 | 1831305267 | $3K |
| 16 | 1780619692 | $3K |
| 17 | 1043206469 | $2K |
| 18 | 1952631301 | $713 |
| 19 | 1730253287 | $211 |
| 20 | 1043475627 | $0 |
Showing top 20 of 20 providers billing this code