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#3997 of 11K

91120

HCPCS Procedure Code

HCPCS code 91120 is the #3,997 most-billed Medicaid procedure code, with $943K in payments across 6,870 claims from 2018–2024. The national median cost per claim is $184.78.

Total Paid

$943K

0.00% of all spending

Total Claims

6,870

Providers

32

Avg Cost/Claim

$137

National Cost Distribution

How much do providers bill per claim for 91120? Based on 31 providers billing this code nationally.

Median

$184.78

Average

$180.64

Std Dev

$102.90

Max

$361.24

Percentile Distribution (Cost per Claim)

p10
$51.87
p25
$94.06
Median
$184.78
p75
$258.61
p90
$322.58
p95
$337.44
p99
$356.19

50% of providers bill between $94.06 and $258.61 per claim for this code.

90% bill between $51.87 and $322.58.

Top 1% bill above $356.19.

About This Procedure

HCPCS code 91120 was billed by 32 providers across 6,870 claims, totaling $943K in Medicaid payments from 2018–2024. This code was used for 5,899 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$184.78

Providers Billing

31

National Spending

$943K

Avg/Median Ratio

0.98×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 91120

#ProviderTotal Paid
11225053523$293K
2The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$147K
31932216389$94K
41578744892$76K
51386711877$73K
6Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$41K
71992982680$35K
81073521175$35K
91023092053$24K
101629030358$18K
11Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$16K
121306999792$14K
131801827639$10K
141316437718$9K
151588731087$9K
161215392030$7K
171760445373$4K
181740231448$4K
191164410825$4K
201699206409$4K

Showing top 20 of 32 providers billing this code