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#5891 of 11K

89220

HCPCS Procedure Code

HCPCS code 89220 is the #5,891 most-billed Medicaid procedure code, with $123K in payments across 6,669 claims from 2018–2024. The national median cost per claim is $8.95. Costs vary widely — the 90th percentile is $53.48 per claim, 6.0× the median.

Total Paid

$123K

0.00% of all spending

Total Claims

6,669

Providers

35

Avg Cost/Claim

$18

National Cost Distribution

How much do providers bill per claim for 89220? Based on 33 providers billing this code nationally.

Median

$8.95

Average

$24.55

Std Dev

$59.50

Max

$342.03

Percentile Distribution (Cost per Claim)

p10
$1.21
p25
$3.19
Median
$8.95
p75
$14.42
p90
$53.48
p95
$56.53
p99
$250.68

50% of providers bill between $3.19 and $14.42 per claim for this code.

90% bill between $1.21 and $53.48.

Top 1% bill above $250.68.

About This Procedure

HCPCS code 89220 was billed by 35 providers across 6,669 claims, totaling $123K in Medicaid payments from 2018–2024. This code was used for 5,453 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.95

Providers Billing

33

National Spending

$123K

Avg/Median Ratio

2.74×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 89220

#ProviderTotal Paid
11598736159$41K
21548205818$20K
3North Carolina Baptist Hospital

Winston Salem, NC · General Acute Care Hospital

$11K
41750332565$7K
5Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$6K
61972682698$5K
71033289699$5K
81699812099$4K
91790028025$4K
101760709265$3K
111598171209$3K
121336231232$3K
131730136367$2K
141679557888$1K
151760476659$961
161326186289$931
171144205360$786
181306865761$738
191043354020$719
201063414233$533

Showing top 20 of 35 providers billing this code

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