20680
HCPCS Procedure Code
HCPCS code 20680 is the #1,710 most-billed Medicaid procedure code, with $15.7M in payments across 15K claims from 2018–2024. The national median cost per claim is $982.26.
Total Paid
$15.7M
0.00% of all spending
Total Claims
15K
Providers
92
Avg Cost/Claim
$1K
National Cost Distribution
How much do providers bill per claim for 20680? Based on 91 providers billing this code nationally.
Median
$982.26
Average
$1,040.56
Std Dev
$663.45
Max
$3,234.19
Percentile Distribution (Cost per Claim)
50% of providers bill between $647.83 and $1,396.77 per claim for this code.
90% bill between $188.06 and $1,745.04.
Top 1% bill above $2,697.81.
About This Procedure
HCPCS code 20680 was billed by 92 providers across 15K claims, totaling $15.7M in Medicaid payments from 2018–2024. This code was used for 13K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$982.26
Providers Billing
91
National Spending
$15.7M
Avg/Median Ratio
1.06×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 20680
| # | Provider | Total Paid |
|---|---|---|
| 1 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $2.8M |
| 2 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $2.3M |
| 3 | Sage River Counseling Seattle, WA · Counselor Mental Health | $963K |
| 4 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $777K |
| 5 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $715K |
| 6 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $700K |
| 7 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $629K |
| 8 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $617K |
| 9 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $416K |
| 10 | Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital | $312K |
| 11 | 1073827101 | $295K |
| 12 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $268K |
| 13 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $257K |
| 14 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $252K |
| 15 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $245K |
| 16 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $233K |
| 17 | Carilion Medical Center Roanoke, VA · General Acute Care Hospital | $209K |
| 18 | William Beaumont Hospital Royal Oak, MI · General Acute Care Hospital | $206K |
| 19 | 1831109560 | $184K |
| 20 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $172K |
Showing top 20 of 92 providers billing this code