20604
HCPCS Procedure Code
HCPCS code 20604 is the #6,688 most-billed Medicaid procedure code, with $48K in payments across 1K claims from 2018–2024. The national median cost per claim is $32.35.
Total Paid
$48K
0.00% of all spending
Total Claims
1K
Providers
10
Avg Cost/Claim
$33
National Cost Distribution
How much do providers bill per claim for 20604? Based on 10 providers billing this code nationally.
Median
$32.35
Average
$36.17
Std Dev
$20.03
Max
$63.20
Percentile Distribution (Cost per Claim)
50% of providers bill between $24.94 and $54.29 per claim for this code.
90% bill between $12.67 and $57.50.
Top 1% bill above $62.63.
About This Procedure
HCPCS code 20604 was billed by 10 providers across 1K claims, totaling $48K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$32.35
Providers Billing
10
National Spending
$48K
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 20604
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1184828451 | $22K |
| 2 | 1679603724 | $14K |
| 3 | 1720094337 | $3K |
| 4 | 1225396401 | $2K |
| 5 | 1255827358 | $2K |
| 6 | 1932187044 | $2K |
| 7 | 1235561473 | $2K |
| 8 | 1639587504 | $789 |
| 9 | 1639200215 | $682 |
| 10 | 1508067208 | $539 |
Showing top 10 of 10 providers billing this code