00920
HCPCS Procedure Code
HCPCS code 00920 is the #2,466 most-billed Medicaid procedure code, with $5.6M in payments across 68K claims from 2018–2024. The national median cost per claim is $88.17. Costs vary widely — the 90th percentile is $194.93 per claim, 2.2× the median.
Total Paid
$5.6M
0.00% of all spending
Total Claims
68K
Providers
204
Avg Cost/Claim
$82
National Cost Distribution
How much do providers bill per claim for 00920? Based on 191 providers billing this code nationally.
Median
$88.17
Average
$104.70
Std Dev
$72.17
Max
$468.42
Percentile Distribution (Cost per Claim)
50% of providers bill between $53.46 and $143.87 per claim for this code.
90% bill between $34.75 and $194.93.
Top 1% bill above $302.81.
About This Procedure
HCPCS code 00920 was billed by 204 providers across 68K claims, totaling $5.6M in Medicaid payments from 2018–2024. This code was used for 60K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$88.17
Providers Billing
191
National Spending
$5.6M
Avg/Median Ratio
1.19×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 00920
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $358K |
| 2 | 1699710749 | $309K |
| 3 | 1366412553 | $304K |
| 4 | 1427093863 | $190K |
| 5 | 1720087802 | $174K |
| 6 | 1518912302 | $160K |
| 7 | 1174032254 | $150K |
| 8 | 1346267267 | $144K |
| 9 | 1225016926 | $143K |
| 10 | Ahs Hospital Corp. Morristown, NJ · General Acute Care Hospital | $141K |
| 11 | 1093767766 | $125K |
| 12 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $123K |
| 13 | 1437203098 | $114K |
| 14 | Florida Clinical Practice Association Inc Gainesville, FL · Surgery | $114K |
| 15 | 1336488568 | $113K |
| 16 | 1558314427 | $111K |
| 17 | 1972126209 | $111K |
| 18 | Vanderbilt University Medical Center Nashville, TN · Transplant Surgery | $93K |
| 19 | 1053354233 | $93K |
| 20 | 1619452901 | $92K |
Showing top 20 of 204 providers billing this code