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#5523 of 11K

OP720

HCPCS Procedure Code

HCPCS code OP720 is the #5,523 most-billed Medicaid procedure code, with $183K in payments across 1K claims from 2018–2024. The national median cost per claim is $129.92.

Total Paid

$183K

0.00% of all spending

Total Claims

1K

Providers

8

Avg Cost/Claim

$124

National Cost Distribution

How much do providers bill per claim for OP720? Based on 8 providers billing this code nationally.

Median

$129.92

Average

$106.16

Std Dev

$58.07

Max

$161.62

Percentile Distribution (Cost per Claim)

p10
$34.63
p25
$62.43
Median
$129.92
p75
$149.47
p90
$159.66
p95
$160.64
p99
$161.42

50% of providers bill between $62.43 and $149.47 per claim for this code.

90% bill between $34.63 and $159.66.

Top 1% bill above $161.42.

About This Procedure

HCPCS code OP720 was billed by 8 providers across 1K claims, totaling $183K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$129.92

Providers Billing

8

National Spending

$183K

Avg/Median Ratio

0.82×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for OP720

#ProviderTotal Paid
1Robert Wood Johnson University Hospital, Inc

New Brunswick, NJ · General Acute Care Hospital

$131K
2Virtua - West Jersey Health System Inc.

Voorhees, NJ · General Acute Care Hospital

$22K
31598144362$10K
4The Cooper Health System

Camden, NJ · General Acute Care Hospital

$9K
5Trinitas Regional Medical Center

Elizabeth, NJ · General Acute Care Hospital

$7K
6Ahs Hospital Corp.

Morristown, NJ · General Acute Care Hospital

$2K
71982720249$922
81134125016$866

Showing top 8 of 8 providers billing this code

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