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#4610 of 11K

72120

HCPCS Procedure Code

HCPCS code 72120 is the #4,610 most-billed Medicaid procedure code, with $489K in payments across 13K claims from 2018–2024. The national median cost per claim is $23.30. Costs vary widely — the 90th percentile is $47.36 per claim, 2.0× the median.

Total Paid

$489K

0.00% of all spending

Total Claims

13K

Providers

106

Avg Cost/Claim

$37

National Cost Distribution

How much do providers bill per claim for 72120? Based on 103 providers billing this code nationally.

Median

$23.30

Average

$26.92

Std Dev

$22.16

Max

$122.31

Percentile Distribution (Cost per Claim)

p10
$6.52
p25
$10.46
Median
$23.30
p75
$34.35
p90
$47.36
p95
$71.68
p99
$104.05

50% of providers bill between $10.46 and $34.35 per claim for this code.

90% bill between $6.52 and $47.36.

Top 1% bill above $104.05.

About This Procedure

HCPCS code 72120 was billed by 106 providers across 13K claims, totaling $489K in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$23.30

Providers Billing

103

National Spending

$489K

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 72120

#ProviderTotal Paid
1University Of Kentucky

Lexington, KY · General Acute Care Hospital

$111K
21407887003$56K
3Riverside Hospital Inc

Newport News, VA · Psychiatric Hospital

$34K
4The Toledo Hospital

Toledo, OH · Pediatrics

$32K
5State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$27K
6The Cooper Health System

Camden, NJ · General Acute Care Hospital

$22K
7District Hospital Partners L P

Washington, DC · Nurse Practitioner, Family

$16K
8Ohiohealth Corporation

Columbus, OH · General Acute Care Hospital

$15K
9County Of Ventura

Ventura, CA · Clinic/Center, Emergency Care

$13K
101548538200$12K
111699768903$12K
121972500304$11K
13Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$9K
141538244918$9K
151407231293$6K
161689624686$5K
17University Hospitals Cleveland Medical Center

Cleveland, OH · General Acute Care Hospital

$5K
18Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$4K
191780694372$4K
201538166236$4K

Showing top 20 of 106 providers billing this code