72100
HCPCS Procedure Code
HCPCS code 72100 is the #706 most-billed Medicaid procedure code, with $101.2M in payments across 5.0M claims from 2018–2024. The national median cost per claim is $15.14. Costs vary widely — the 90th percentile is $39.19 per claim, 2.6× the median.
Total Paid
$101.2M
0.01% of all spending
Total Claims
5.0M
Providers
6K
Avg Cost/Claim
$20
National Cost Distribution
How much do providers bill per claim for 72100? Based on 6K providers billing this code nationally.
Median
$15.14
Average
$20.59
Std Dev
$21.16
Max
$358.12
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.41 and $25.09 per claim for this code.
90% bill between $5.47 and $39.19.
Top 1% bill above $108.68.
About This Procedure
HCPCS code 72100 was billed by 6K providers across 5.0M claims, totaling $101.2M in Medicaid payments from 2018–2024. This code was used for 4.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$15.14
Providers Billing
6K
National Spending
$101.2M
Avg/Median Ratio
1.36×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 72100
| # | Provider | Total Paid |
|---|---|---|
| 1 | Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology | $1.1M |
| 2 | Lenox Hill Radiology & Medical Imaging Associates, Pc New York, NY · Radiology, Body Imaging | $1.1M |
| 3 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $925K |
| 4 | United Medical Imaging Healthcare, Inc. Los Angeles, CA · Clinic/Center, Radiology | $835K |
| 5 | Ashland Hospital Corporation Ashland, KY · Clinic/Center, Rural Health | $781K |
| 6 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $711K |
| 7 | 1972004489 | $709K |
| 8 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $649K |
| 9 | 1497148456 | $576K |
| 10 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $519K |
| 11 | Kaiser Foundation Hospitals Sacramento, CA · General Acute Care Hospital | $497K |
| 12 | Grossmont Hospital Corporation La Mesa, CA · General Acute Care Hospital | $492K |
| 13 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $451K |
| 14 | State Of Connecticut Farmington, CT · Counselor, Professional | $429K |
| 15 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $427K |
| 16 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $426K |
| 17 | Antelope Valley Health Care District Lancaster, CA · General Acute Care Hospital | $424K |
| 18 | 1427095801 | $406K |
| 19 | 1811922347 | $352K |
| 20 | 1689282147 | $349K |
Showing top 20 of 6K providers billing this code