#3937 of 11K

70220

HCPCS Procedure Code

HCPCS code 70220 is the #3,937 most-billed Medicaid procedure code, with $1.0M in payments across 45K claims from 2018–2024. The national median cost per claim is $20.13. Costs vary widely — the 90th percentile is $41.70 per claim, 2.1× the median.

Total Paid

$1.0M

0.00% of all spending

Total Claims

45K

Providers

151

Avg Cost/Claim

$22

National Cost Distribution

How much do providers bill per claim for 70220? Based on 149 providers billing this code nationally.

Median

$20.13

Average

$24.03

Std Dev

$20.24

Max

$144.84

Percentile Distribution (Cost per Claim)

p10

$7.11

p25

$10.96

Median

$20.13

p75

$29.35

p90

$41.70

p95

$52.65

p99

$106.96

50% of providers bill between $10.96 and $29.35 per claim for this code.

90% bill between $7.11 and $41.70.

Top 1% bill above $106.96.

About This Procedure

HCPCS code 70220 was billed by 151 providers across 45K claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 40K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$20.13

Providers Billing

149

National Spending

$1.0M

Avg/Median Ratio

1.19×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 70220

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1548538200	$256K	$20.13	1.0× median	Above Median
2	1588166060	$61K	$26.63	1.3× median	Above Median
3	Variety Children's Hospital Miami, FL · General Acute Care Hospital Children	$57K	$100.87	5.0× median	Top 10%
4	1700949336	$51K	$34.01	1.7× median	Above 75th
5	1457443897	$48K	$23.57	1.2× median	Above Median
6	1306865761	$46K	$75.74	3.8× median	Top 10%
7	Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology	$42K	$18.52	0.9× median	Below Median
8	Bridgeport Hospital Bridgeport, CT · General Acute Care Hospital	$35K	$51.96	2.6× median	Top 10%
9	1720023997	$19K	$31.12	1.5× median	Above 75th
10	1184777922	$19K	$31.26	1.6× median	Above 75th
11	1285709592	$17K	$8.88	0.4× median	Below Median
12	1558659714	$16K	$109.83	5.5× median	Top 1%
13	1063411460	$16K	$32.01	1.6× median	Above 75th
14	1437681178	$13K	$17.90	0.9× median	Below Median
15	1831205236	$12K	$26.18	1.3× median	Above Median
16	1639371586	$12K	$38.99	1.9× median	Above 75th
17	1710287735	$12K	$20.43	1.0× median	Above Median
18	New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization	$11K	$38.72	1.9× median	Above 75th
19	1275583205	$10K	$40.93	2.0× median	Above 75th
20	Dayton Children's Hospital Dayton, OH · General Acute Care Hospital, Children	$9K	$35.07	1.7× median	Above 75th

Showing top 20 of 151 providers billing this code

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