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#6679 of 11K

L1920

HCPCS Procedure Code

HCPCS code L1920 is the #6,679 most-billed Medicaid procedure code, with $48K in payments across 336 claims from 2018–2024. The national median cost per claim is $149.21.

Total Paid

$48K

0.00% of all spending

Total Claims

336

Providers

3

Avg Cost/Claim

$144

National Cost Distribution

How much do providers bill per claim for L1920? Based on 3 providers billing this code nationally.

Median

$149.21

Average

$153.25

Std Dev

$15.26

Max

$170.12

Percentile Distribution (Cost per Claim)

p10
$142.17
p25
$144.81
Median
$149.21
p75
$159.67
p90
$165.94
p95
$168.03
p99
$169.70

50% of providers bill between $144.81 and $159.67 per claim for this code.

90% bill between $142.17 and $165.94.

Top 1% bill above $169.70.

About This Procedure

HCPCS code L1920 was billed by 3 providers across 336 claims, totaling $48K in Medicaid payments from 2018–2024. This code was used for 198 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$149.21

Providers Billing

3

National Spending

$48K

Avg/Median Ratio

1.03×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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