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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $650K |
| 2 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $300K |
| 3 | 1669657318 | $22K |
| 4 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $19K |
| 5 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $8K |
| 6 | Children's Hospital Corporation Boston, MA · Clinic/Center | $7K |
| 7 | University Of Washington Seattle, WA · Clinic/Center, Dental | $3K |
| 8 | Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA · Oral & Maxillofacial Surgery | $2K |
| 9 | 1700861580 | $0 |
Showing top 9 of 9 providers billing this code