#3788 of 11K

E0720

HCPCS Procedure Code

HCPCS code E0720 is the #3,788 most-billed Medicaid procedure code, with $1.2M in payments across 24K claims from 2018–2024. The national median cost per claim is $80.28. Costs vary widely — the 90th percentile is $196.84 per claim, 2.5× the median.

Total Paid

$1.2M

0.00% of all spending

Total Claims

24K

Providers

Avg Cost/Claim

$49

National Cost Distribution

How much do providers bill per claim for E0720? Based on 32 providers billing this code nationally.

Median

$80.28

Average

$101.49

Std Dev

$101.58

Max

$499.48

Percentile Distribution (Cost per Claim)

p10

$7.86

p25

$28.38

Median

$80.28

p75

$143.23

p90

$196.84

p95

$235.37

p99

$420.33

50% of providers bill between $28.38 and $143.23 per claim for this code.

90% bill between $7.86 and $196.84.

Top 1% bill above $420.33.

About This Procedure

HCPCS code E0720 was billed by 34 providers across 24K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 22K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$80.28

Providers Billing

National Spending

$1.2M

Avg/Median Ratio

1.26×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0720

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1275511297	$230K	$136.06	1.7× median	Above Median
2	1891787594	$164K	$49.60	0.6× median	Below Median
3	1922299338	$134K	$186.45	2.3× median	Above 75th
4	1356389746	$115K	$43.90	0.5× median	Below Median
5	1386785293	$102K	$110.97	1.4× median	Above Median
6	1770511552	$67K	$9.52	0.1× median	Below Median
7	1912902552	$54K	$121.61	1.5× median	Above Median
8	1750626040	$49K	$112.92	1.4× median	Above Median
9	1043304942	$46K	$198.00	2.5× median	Top 10%
10	1508297854	$37K	$499.48	6.2× median	Top 1%
11	1689700650	$29K	$140.92	1.8× median	Above Median
12	1841376076	$26K	$41.57	0.5× median	Below Median
13	1861742991	$16K	$141.19	1.8× median	Above Median
14	1821164146	$15K	$244.16	3.0× median	Top 10%
15	1801899414	$12K	$150.35	1.9× median	Above 75th
16	1053368076	$11K	$20.23	0.3× median	Below Median
17	1023398906	$9K	$152.99	1.9× median	Above 75th
18	1326167321	$8K	$4.43	0.1× median	Below Median
19	1144358839	$8K	$7.68	0.1× median	Below Median
20	1700119559	$6K	$17.42	0.2× median	Below Median

Showing top 20 of 34 providers billing this code

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