Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#6110 of 11K

H0020CR

HCPCS Procedure Code

HCPCS code H0020CR is the #6,110 most-billed Medicaid procedure code, with $94K in payments across 4,819 claims from 2018–2024. The national median cost per claim is $57.11. Costs vary widely — the 90th percentile is $133.99 per claim, 2.3× the median.

Total Paid

$94K

0.00% of all spending

Total Claims

4,819

Providers

17

Avg Cost/Claim

$20

National Cost Distribution

How much do providers bill per claim for H0020CR? Based on 14 providers billing this code nationally.

Median

$57.11

Average

$69.09

Std Dev

$55.24

Max

$173.41

Percentile Distribution (Cost per Claim)

p10
$16.60
p25
$17.38
Median
$57.11
p75
$118.18
p90
$133.99
p95
$150.61
p99
$168.85

50% of providers bill between $17.38 and $118.18 per claim for this code.

90% bill between $16.60 and $133.99.

Top 1% bill above $168.85.

About This Procedure

HCPCS code H0020CR was billed by 17 providers across 4,819 claims, totaling $94K in Medicaid payments from 2018–2024. This code was used for 1,274 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$57.11

Providers Billing

14

National Spending

$94K

Avg/Median Ratio

1.21×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for H0020CR

#ProviderTotal Paid
11124457718$14K
21649310152$14K
31629476627$12K
41518243872$10K
51689072688$10K
61962726380$7K
71598017733$6K
81285054411$5K
91851578124$5K
101487887949$4K
111467822288$3K
121255822060$2K
131962689232$2K
141639573843$493
151306058524$0
161811917768$0
171871679449$0

Showing top 17 of 17 providers billing this code