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#3922 of 11K

72142

HCPCS Procedure Code

HCPCS code 72142 is the #3,922 most-billed Medicaid procedure code, with $1.0M in payments across 2K claims from 2018–2024. The national median cost per claim is $96.50. Costs vary widely — the 90th percentile is $788.71 per claim, 8.2× the median.

Total Paid

$1.0M

0.00% of all spending

Total Claims

2K

Providers

9

Avg Cost/Claim

$476

National Cost Distribution

How much do providers bill per claim for 72142? Based on 8 providers billing this code nationally.

Median

$96.50

Average

$277.52

Std Dev

$367.97

Max

$1,007.16

Percentile Distribution (Cost per Claim)

p10
$29.73
p25
$66.21
Median
$96.50
p75
$324.76
p90
$788.71
p95
$897.94
p99
$985.32

50% of providers bill between $66.21 and $324.76 per claim for this code.

90% bill between $29.73 and $788.71.

Top 1% bill above $985.32.

About This Procedure

HCPCS code 72142 was billed by 9 providers across 2K claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$96.50

Providers Billing

8

National Spending

$1.0M

Avg/Median Ratio

2.88×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 72142

#ProviderTotal Paid
1Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$650K
2Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$300K
31669657318$22K
4Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$19K
5Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$8K
6Children's Hospital Corporation

Boston, MA · Clinic/Center

$7K
7University Of Washington

Seattle, WA · Clinic/Center, Dental

$3K
8Lsu Health Sciences Center Shreveport Faculty Group Practice

Shreveport, LA · Oral & Maxillofacial Surgery

$2K
91700861580$0

Showing top 9 of 9 providers billing this code