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#4062 of 11K

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)

p10
$1.81
p25
$3.81
Median
$5.62
p75
$12.04
p90
$25.93
p95
$46.28
p99
$168.63

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

#ProviderTotal Paid
1Children's Hospital

New Orleans, LA · General Acute Care Hospital Children

$171K
21710491253$106K
3Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$43K
41235120676$38K
51700865094$31K
6Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$27K
71356320659$26K
81962746339$24K
91497195580$22K
101912900721$21K
111982751129$18K
12Seattle Children's Hospital

Seattle, WA · Prosthetic/Orthotic Supplier

$17K
131912076175$17K
141023025236$16K
151801848767$14K
161588778807$12K
17Owensboro Health Inc

Owensboro, KY · General Acute Care Hospital

$12K
181043230873$11K
191205935012$10K
20Children's Hospital & Research Center At Oakland

Oakland, CA · General Acute Care Hospital

$10K

Showing top 20 of 223 providers billing this code