#3636 of 11K

71020

HCPCS Procedure Code

HCPCS code 71020 is the #3,636 most-billed Medicaid procedure code, with $1.4M in payments across 114K claims from 2018–2024. The national median cost per claim is $12.45. Costs vary widely — the 90th percentile is $32.43 per claim, 2.6× the median.

Total Paid

$1.4M

0.00% of all spending

Total Claims

114K

Providers

505

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for 71020? Based on 457 providers billing this code nationally.

Median

$12.45

Average

$16.42

Std Dev

$16.63

Max

$220.67

Percentile Distribution (Cost per Claim)

p10

$3.84

p25

$7.97

Median

$12.45

p75

$23.85

p90

$32.43

p95

$37.65

p99

$60.35

50% of providers bill between $7.97 and $23.85 per claim for this code.

90% bill between $3.84 and $32.43.

Top 1% bill above $60.35.

About This Procedure

HCPCS code 71020 was billed by 505 providers across 114K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 91K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.45

Providers Billing

457

National Spending

$1.4M

Avg/Median Ratio

1.32×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 71020

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1366438186	$50K	$6.85	0.6× median	Below Median
2	1598773079	$41K	$16.12	1.3× median	Above Median
3	Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital	$41K	$11.64	0.9× median	Below Median
4	1639124118	$41K	$12.98	1.0× median	Above Median
5	1588654016	$26K	$12.45	1.0× median	Above Median
6	1104981661	$24K	$51.83	4.2× median	Top 10%
7	1609934249	$22K	$32.49	2.6× median	Top 10%
8	1346230968	$22K	$15.40	1.2× median	Above Median
9	1477549756	$20K	$11.66	0.9× median	Below Median
10	1811946734	$20K	$39.92	3.2× median	Top 10%
11	Alameda Health System Oakland, CA · General Acute Care Hospital	$19K	$32.21	2.6× median	Above 75th
12	1649381682	$19K	$149.75	12.0× median	Top 1%
13	1699726695	$18K	$12.95	1.0× median	Above Median
14	Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology	$18K	$24.21	1.9× median	Above 75th
15	1184654923	$16K	$26.91	2.2× median	Above 75th
16	1487608931	$15K	$8.76	0.7× median	Below Median
17	Riverside University Health Systems - Medical Center Moreno Valley, CA · General Acute Care Hospital	$15K	$20.56	1.7× median	Above Median
18	1699129601	$15K	$45.12	3.6× median	Top 10%
19	1043240682	$15K	$11.67	0.9× median	Below Median
20	1386746337	$14K	$220.67	17.7× median	Top 1%

Showing top 20 of 505 providers billing this code

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