#4385 of 11K

72220

HCPCS Procedure Code

HCPCS code 72220 is the #4,385 most-billed Medicaid procedure code, with $620K in payments across 66K claims from 2018–2024. The national median cost per claim is $9.26. Costs vary widely — the 90th percentile is $36.74 per claim, 4.0× the median.

Total Paid

$620K

0.00% of all spending

Total Claims

66K

Providers

241

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 72220? Based on 230 providers billing this code nationally.

Median

$9.26

Average

$16.37

Std Dev

$19.66

Max

$181.81

Percentile Distribution (Cost per Claim)

p10

$3.28

p25

$4.88

Median

$9.26

p75

$19.64

p90

$36.74

p95

$55.12

p99

$81.72

50% of providers bill between $4.88 and $19.64 per claim for this code.

90% bill between $3.28 and $36.74.

Top 1% bill above $81.72.

About This Procedure

HCPCS code 72220 was billed by 241 providers across 66K claims, totaling $620K in Medicaid payments from 2018–2024. This code was used for 54K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.26

Providers Billing

230

National Spending

$620K

Avg/Median Ratio

1.77×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 72220

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1700865094	$59K	$3.15	0.3× median	Below Median
2	Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology	$42K	$14.59	1.6× median	Above Median
3	1548538200	$39K	$14.56	1.6× median	Above Median
4	New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization	$35K	$31.21	3.4× median	Above 75th
5	1588775654	$32K	$25.36	2.7× median	Above 75th
6	Lenox Hill Radiology & Medical Imaging Associates, Pc New York, NY · Radiology, Body Imaging	$27K	$21.04	2.3× median	Above 75th
7	1740283324	$20K	$4.78	0.5× median	Below Median
8	Ashland Hospital Corporation Ashland, KY · Clinic/Center, Rural Health	$14K	$54.01	5.8× median	Top 10%
9	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$14K	$15.27	1.6× median	Above Median
10	1497195580	$11K	$22.12	2.4× median	Above 75th
11	1972004489	$11K	$23.55	2.5× median	Above 75th
12	Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital	$10K	$76.62	8.3× median	Top 10%
13	Inspira Medical Centers Inc. Vineland, NJ · General Acute Care Hospital	$10K	$32.34	3.5× median	Above 75th
14	1497148456	$9K	$21.10	2.3× median	Above 75th
15	Kaiser Foundation Hospitals Sacramento, CA · General Acute Care Hospital	$9K	$86.92	9.4× median	Top 1%
16	1750364345	$8K	$8.80	1.0× median	Below Median
17	1316254857	$8K	$10.91	1.2× median	Above Median
18	1679529978	$8K	$4.96	0.5× median	Below Median
19	1801835889	$8K	$4.22	0.5× median	Below Median
20	Norton Hospitals Inc Louisville, KY · General Acute Care Hospital	$7K	$32.95	3.6× median	Above 75th

Showing top 20 of 241 providers billing this code

← All procedures Top providers →