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#6116 of 11K

68020

HCPCS Procedure Code

HCPCS code 68020 is the #6,116 most-billed Medicaid procedure code, with $93K in payments across 1,265 claims from 2018–2024. The national median cost per claim is $73.68.

Total Paid

$93K

0.00% of all spending

Total Claims

1,265

Providers

3

Avg Cost/Claim

$74

National Cost Distribution

How much do providers bill per claim for 68020? Based on 3 providers billing this code nationally.

Median

$73.68

Average

$77.65

Std Dev

$20.18

Max

$99.52

Percentile Distribution (Cost per Claim)

p10
$62.54
p25
$66.72
Median
$73.68
p75
$86.60
p90
$94.36
p95
$96.94
p99
$99.01

50% of providers bill between $66.72 and $86.60 per claim for this code.

90% bill between $62.54 and $94.36.

Top 1% bill above $99.01.

About This Procedure

HCPCS code 68020 was billed by 3 providers across 1,265 claims, totaling $93K in Medicaid payments from 2018–2024. This code was used for 1,255 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$73.68

Providers Billing

3

National Spending

$93K

Avg/Median Ratio

1.05×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.