72020
HCPCS Procedure Code
HCPCS code 72020 is the #4,062 most-billed Medicaid procedure code, with $878K in payments across 74K claims from 2018–2024. The national median cost per claim is $5.62. Costs vary widely — the 90th percentile is $25.93 per claim, 4.6× the median.
Total Paid
$878K
0.00% of all spending
Total Claims
74K
Providers
223
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for 72020? Based on 208 providers billing this code nationally.
Median
$5.62
Average
$13.84
Std Dev
$27.50
Max
$235.72
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.81 and $12.04 per claim for this code.
90% bill between $1.81 and $25.93.
Top 1% bill above $168.63.
About This Procedure
HCPCS code 72020 was billed by 223 providers across 74K claims, totaling $878K in Medicaid payments from 2018–2024. This code was used for 65K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.62
Providers Billing
208
National Spending
$878K
Avg/Median Ratio
2.46×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 72020
| # | Provider | Total Paid |
|---|---|---|
| 1 | Children's Hospital New Orleans, LA · General Acute Care Hospital Children | $171K |
| 2 | 1710491253 | $106K |
| 3 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $43K |
| 4 | 1235120676 | $38K |
| 5 | 1700865094 | $31K |
| 6 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $27K |
| 7 | 1356320659 | $26K |
| 8 | 1962746339 | $24K |
| 9 | 1497195580 | $22K |
| 10 | 1912900721 | $21K |
| 11 | 1982751129 | $18K |
| 12 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $17K |
| 13 | 1912076175 | $17K |
| 14 | 1023025236 | $16K |
| 15 | 1801848767 | $14K |
| 16 | 1588778807 | $12K |
| 17 | Owensboro Health Inc Owensboro, KY · General Acute Care Hospital | $12K |
| 18 | 1043230873 | $11K |
| 19 | 1205935012 | $10K |
| 20 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $10K |
Showing top 20 of 223 providers billing this code