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#5415 of 11K

W0220

HCPCS Procedure Code

HCPCS code W0220 is the #5,415 most-billed Medicaid procedure code, with $205K in payments across 42 claims from 2018–2024. The national median cost per claim is $4,754.22.

Total Paid

$205K

0.00% of all spending

Total Claims

42

Providers

2

Avg Cost/Claim

$5K

National Cost Distribution

How much do providers bill per claim for W0220? Based on 2 providers billing this code nationally.

Median

$4,754.22

Average

$4,754.22

Std Dev

$482.87

Max

$5,095.66

Percentile Distribution (Cost per Claim)

p10
$4,481.06
p25
$4,583.49
Median
$4,754.22
p75
$4,924.94
p90
$5,027.37
p95
$5,061.51
p99
$5,088.83

50% of providers bill between $4,583.49 and $4,924.94 per claim for this code.

90% bill between $4,481.06 and $5,027.37.

Top 1% bill above $5,088.83.

About This Procedure

HCPCS code W0220 was billed by 2 providers across 42 claims, totaling $205K in Medicaid payments from 2018–2024. This code was used for 37 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4,754.22

Providers Billing

2

National Spending

$205K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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