69220
HCPCS Procedure Code
HCPCS code 69220 is the #5,919 most-billed Medicaid procedure code, with $118K in payments across 4K claims from 2018–2024. The national median cost per claim is $37.91.
Total Paid
$118K
0.00% of all spending
Total Claims
4K
Providers
19
Avg Cost/Claim
$34
National Cost Distribution
How much do providers bill per claim for 69220? Based on 17 providers billing this code nationally.
Median
$37.91
Average
$39.73
Std Dev
$32.28
Max
$134.50
Percentile Distribution (Cost per Claim)
50% of providers bill between $27.76 and $48.69 per claim for this code.
90% bill between $4.13 and $65.18.
Top 1% bill above $123.95.
About This Procedure
HCPCS code 69220 was billed by 19 providers across 4K claims, totaling $118K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$37.91
Providers Billing
17
National Spending
$118K
Avg/Median Ratio
1.05×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 69220
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1568575215 | $48K |
| 2 | 1548430945 | $17K |
| 3 | 1386946333 | $15K |
| 4 | 1851363055 | $14K |
| 5 | 1639101751 | $13K |
| 6 | 1386685881 | $2K |
| 7 | 1255582078 | $2K |
| 8 | 1376500884 | $2K |
| 9 | 1447398839 | $944 |
| 10 | 1184625733 | $834 |
| 11 | 1952727109 | $823 |
| 12 | 1851400527 | $665 |
| 13 | 1013065473 | $605 |
| 14 | 1881908879 | $566 |
| 15 | 1629761978 | $389 |
| 16 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $79 |
| 17 | 1619011228 | $11 |
| 18 | 1427229384 | $0 |
| 19 | Eastern Maine Medical Center Bangor, ME · General Acute Care Hospital | $0 |
Showing top 19 of 19 providers billing this code