38222
HCPCS Procedure Code
HCPCS code 38222 is the #2,049 most-billed Medicaid procedure code, with $9.7M in payments across 21K claims from 2018–2024. The national median cost per claim is $262.21. Costs vary widely — the 90th percentile is $1,110.29 per claim, 4.2× the median.
Total Paid
$9.7M
0.00% of all spending
Total Claims
21K
Providers
71
Avg Cost/Claim
$466
National Cost Distribution
How much do providers bill per claim for 38222? Based on 68 providers billing this code nationally.
Median
$262.21
Average
$400.35
Std Dev
$450.58
Max
$1,882.78
Percentile Distribution (Cost per Claim)
50% of providers bill between $78.00 and $507.08 per claim for this code.
90% bill between $39.21 and $1,110.29.
Top 1% bill above $1,789.75.
About This Procedure
HCPCS code 38222 was billed by 71 providers across 21K claims, totaling $9.7M in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$262.21
Providers Billing
68
National Spending
$9.7M
Avg/Median Ratio
1.53×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 38222
| # | Provider | Total Paid |
|---|---|---|
| 1 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $2.5M |
| 2 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $905K |
| 3 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $794K |
| 4 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $789K |
| 5 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $741K |
| 6 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $664K |
| 7 | 1164493847 | $546K |
| 8 | Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital | $475K |
| 9 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $452K |
| 10 | Mount Sinai Hospital New York, NY · Ambulance | $279K |
| 11 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $158K |
| 12 | 1477549756 | $148K |
| 13 | 1780653618 | $141K |
| 14 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $123K |
| 15 | 1639172372 | $107K |
| 16 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $81K |
| 17 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $60K |
| 18 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $56K |
| 19 | 1588862130 | $54K |
| 20 | 1871886366 | $43K |
Showing top 20 of 71 providers billing this code