Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#6799 of 11K

01392

HCPCS Procedure Code

HCPCS code 01392 is the #6,799 most-billed Medicaid procedure code, with $42K in payments across 517 claims from 2018–2024. The national median cost per claim is $72.48.

Total Paid

$42K

0.00% of all spending

Total Claims

517

Providers

5

Avg Cost/Claim

$82

National Cost Distribution

How much do providers bill per claim for 01392? Based on 5 providers billing this code nationally.

Median

$72.48

Average

$76.15

Std Dev

$10.53

Max

$94.36

Percentile Distribution (Cost per Claim)

p10
$69.01
p25
$70.09
Median
$72.48
p75
$75.56
p90
$86.84
p95
$90.60
p99
$93.61

50% of providers bill between $70.09 and $75.56 per claim for this code.

90% bill between $69.01 and $86.84.

Top 1% bill above $93.61.

About This Procedure

HCPCS code 01392 was billed by 5 providers across 517 claims, totaling $42K in Medicaid payments from 2018–2024. This code was used for 302 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$72.48

Providers Billing

5

National Spending

$42K

Avg/Median Ratio

1.05×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 01392

#ProviderTotal Paid
11871986372$22K
21972126209$11K
31225016926$5K
41669581997$3K
51487609475$1K

Showing top 5 of 5 providers billing this code