0520
HCPCS Procedure Code
HCPCS code 0520 is the #1,289 most-billed Medicaid procedure code, with $29.0M in payments across 124K claims from 2018–2024. The national median cost per claim is $71.00. Costs vary widely — the 90th percentile is $149.62 per claim, 2.1× the median.
Total Paid
$29.0M
0.00% of all spending
Total Claims
124K
Providers
17
Avg Cost/Claim
$234
National Cost Distribution
How much do providers bill per claim for 0520? Based on 14 providers billing this code nationally.
Median
$71.00
Average
$101.72
Std Dev
$132.33
Max
$512.22
Percentile Distribution (Cost per Claim)
50% of providers bill between $17.88 and $139.78 per claim for this code.
90% bill between $10.89 and $149.62.
Top 1% bill above $465.48.
About This Procedure
HCPCS code 0520 was billed by 17 providers across 124K claims, totaling $29.0M in Medicaid payments from 2018–2024. This code was used for 77K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$71.00
Providers Billing
14
National Spending
$29.0M
Avg/Median Ratio
1.43×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0520
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1992779417 | $19.1M |
| 2 | 1811914674 | $4.6M |
| 3 | 1811926058 | $2.7M |
| 4 | 1700803285 | $2.2M |
| 5 | 1184641664 | $95K |
| 6 | 1326105909 | $76K |
| 7 | 1134286727 | $69K |
| 8 | 1114084894 | $61K |
| 9 | 1376874966 | $44K |
| 10 | 1215327804 | $38K |
| 11 | 1265599732 | $24K |
| 12 | 1992012306 | $12K |
| 13 | 1679988950 | $3K |
| 14 | 1811279763 | $249 |
| 15 | 1245356674 | $0 |
| 16 | 1205951738 | $0 |
| 17 | 1306062419 | $0 |
Showing top 17 of 17 providers billing this code