S0020
HCPCS Procedure Code
HCPCS code S0020 is the #3,034 most-billed Medicaid procedure code, with $2.7M in payments across 317K claims from 2018–2024. The national median cost per claim is $2.57. Costs vary widely — the 90th percentile is $16.17 per claim, 6.3× the median.
Total Paid
$2.7M
0.00% of all spending
Total Claims
317K
Providers
576
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for S0020? Based on 438 providers billing this code nationally.
Median
$2.57
Average
$11.88
Std Dev
$79.62
Max
$1,570.05
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.80 and $8.27 per claim for this code.
90% bill between $0.14 and $16.17.
Top 1% bill above $129.05.
About This Procedure
HCPCS code S0020 was billed by 576 providers across 317K claims, totaling $2.7M in Medicaid payments from 2018–2024. This code was used for 283K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.57
Providers Billing
438
National Spending
$2.7M
Avg/Median Ratio
4.62×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for S0020
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1871556217 | $568K |
| 2 | Carolinas Medical Center Charlotte, NC · General Acute Care Hospital | $210K |
| 3 | 1407106339 | $187K |
| 4 | 1477584993 | $168K |
| 5 | 1942423579 | $92K |
| 6 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $85K |
| 7 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $84K |
| 8 | 1447244256 | $67K |
| 9 | Children's Hospital Corporation Boston, MA · Clinic/Center | $46K |
| 10 | 1821002007 | $46K |
| 11 | 1407813660 | $42K |
| 12 | 1477671535 | $42K |
| 13 | Dignity Health San Bernardino, CA · General Acute Care Hospital | $40K |
| 14 | Antelope Valley Health Care District Lancaster, CA · General Acute Care Hospital | $36K |
| 15 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $35K |
| 16 | Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital | $34K |
| 17 | 1205089026 | $28K |
| 18 | 1861060733 | $26K |
| 19 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $26K |
| 20 | 1003985755 | $23K |
Showing top 20 of 576 providers billing this code