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#2378 of 11K

X3920

HCPCS Procedure Code

HCPCS code X3920 is the #2,378 most-billed Medicaid procedure code, with $6.2M in payments across 173K claims from 2018–2024. The national median cost per claim is $34.62.

Total Paid

$6.2M

0.00% of all spending

Total Claims

173K

Providers

127

Avg Cost/Claim

$36

National Cost Distribution

How much do providers bill per claim for X3920? Based on 126 providers billing this code nationally.

Median

$34.62

Average

$36.49

Std Dev

$5.11

Max

$54.13

Percentile Distribution (Cost per Claim)

p10
$34.29
p25
$34.52
Median
$34.62
p75
$34.75
p90
$48.22
p95
$49.97
p99
$51.03

50% of providers bill between $34.52 and $34.75 per claim for this code.

90% bill between $34.29 and $48.22.

Top 1% bill above $51.03.

About This Procedure

HCPCS code X3920 was billed by 127 providers across 173K claims, totaling $6.2M in Medicaid payments from 2018–2024. This code was used for 151K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$34.62

Providers Billing

126

National Spending

$6.2M

Avg/Median Ratio

1.05×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for X3920

#ProviderTotal Paid
11477596583$212K
21205907938$193K
3Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$172K
41730250192$146K
51912072844$143K
61467523829$135K
71467507046$127K
81659464410$126K
91558408294$118K
101801989405$117K
111306945191$112K
121679642060$108K
131750415253$107K
141548347727$106K
151780761981$105K
161194870709$104K
171891872081$101K
181093847980$100K
191588750111$98K
201518004910$98K

Showing top 20 of 127 providers billing this code