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#4850 of 11K

73020

HCPCS Procedure Code

HCPCS code 73020 is the #4,850 most-billed Medicaid procedure code, with $376K in payments across 66K claims from 2018–2024. The national median cost per claim is $5.89. Costs vary widely — the 90th percentile is $20.86 per claim, 3.5× the median.

Total Paid

$376K

0.00% of all spending

Total Claims

66K

Providers

162

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 73020? Based on 157 providers billing this code nationally.

Median

$5.89

Average

$9.63

Std Dev

$10.11

Max

$74.33

Percentile Distribution (Cost per Claim)

p10
$2.94
p25
$4.30
Median
$5.89
p75
$11.15
p90
$20.86
p95
$30.11
p99
$47.84

50% of providers bill between $4.30 and $11.15 per claim for this code.

90% bill between $2.94 and $20.86.

Top 1% bill above $47.84.

About This Procedure

HCPCS code 73020 was billed by 162 providers across 66K claims, totaling $376K in Medicaid payments from 2018–2024. This code was used for 47K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.89

Providers Billing

157

National Spending

$376K

Avg/Median Ratio

1.63×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 73020

#ProviderTotal Paid
11700865094$94K
21619952595$33K
31164550794$16K
41750364345$15K
51235161480$12K
61952476665$12K
71891059127$11K
81609841436$10K
91033183603$8K
101336187475$8K
111427123132$8K
121376719666$7K
131053403402$6K
14Ohio State University Hospitals

Columbus, OH · General Acute Care Hospital

$6K
151952476525$6K
161699874248$6K
171356779029$6K
181073684817$5K
191326450156$4K
201215903018$4K

Showing top 20 of 162 providers billing this code

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