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

#657 of 11K

S0620

HCPCS Procedure Code

HCPCS code S0620 is the #657 most-billed Medicaid procedure code, with $113.3M in payments across 2.1M claims from 2018–2024. The national median cost per claim is $43.56.

Total Paid

$113.3M

0.01% of all spending

Total Claims

2.1M

Providers

3,657

Avg Cost/Claim

$54

National Cost Distribution

How much do providers bill per claim for S0620? Based on 3,414 providers billing this code nationally.

Median

$43.56

Average

$48.60

Std Dev

$21.10

Max

$359.07

Percentile Distribution (Cost per Claim)

p10
$30.00
p25
$38.87
Median
$43.56
p75
$52.10
p90
$86.40
p95
$93.28
p99
$99.86

50% of providers bill between $38.87 and $52.10 per claim for this code.

90% bill between $30.00 and $86.40.

Top 1% bill above $99.86.

About This Procedure

HCPCS code S0620 was billed by 3,657 providers across 2.1M claims, totaling $113.3M in Medicaid payments from 2018–2024. This code was used for 2.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$43.56

Providers Billing

3,414

National Spending

$113.3M

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S0620

#ProviderTotal Paid
11194879023$5.0M
21720033343$4.9M
31528497732$1.5M
41043287469$1.4M
51992055966$1.2M
61174850168$1.2M
71073584157$1.0M
81295799823$1.0M
91245211333$1.0M
101215994371$950K
111811024961$844K
121356529960$806K
131417945775$709K
141497781868$671K
151326157215$646K
161639114291$623K
171043691595$619K
181124080080$593K
191528007507$582K
201598700114$482K

Showing top 20 of 3,657 providers billing this code