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#3884 of 11K

0192

HCPCS Procedure Code

HCPCS code 0192 is the #3,884 most-billed Medicaid procedure code, with $1.1M in payments across 188 claims from 2018–2024. The national median cost per claim is $5,148.88.

Total Paid

$1.1M

0.00% of all spending

Total Claims

188

Providers

4

Avg Cost/Claim

$6K

National Cost Distribution

How much do providers bill per claim for 0192? Based on 4 providers billing this code nationally.

Median

$5,148.88

Average

$5,544.13

Std Dev

$1,975.28

Max

$7,966.67

Percentile Distribution (Cost per Claim)

p10
$3,924.35
p25
$3,942.73
Median
$5,148.88
p75
$6,750.29
p90
$7,480.11
p95
$7,723.39
p99
$7,918.01

50% of providers bill between $3,942.73 and $6,750.29 per claim for this code.

90% bill between $3,924.35 and $7,480.11.

Top 1% bill above $7,918.01.

About This Procedure

HCPCS code 0192 was billed by 4 providers across 188 claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 175 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5,148.88

Providers Billing

4

National Spending

$1.1M

Avg/Median Ratio

1.08×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.