72170
HCPCS Procedure Code
HCPCS code 72170 is the #1,554 most-billed Medicaid procedure code, with $19.4M in payments across 1.2M claims from 2018–2024. The national median cost per claim is $7.99. Costs vary widely — the 90th percentile is $32.83 per claim, 4.1× the median.
Total Paid
$19.4M
0.00% of all spending
Total Claims
1.2M
Providers
1,856
Avg Cost/Claim
$16
National Cost Distribution
How much do providers bill per claim for 72170? Based on 1,798 providers billing this code nationally.
Median
$7.99
Average
$15.15
Std Dev
$21.47
Max
$305.96
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.85 and $16.68 per claim for this code.
90% bill between $2.54 and $32.83.
Top 1% bill above $106.37.
About This Procedure
HCPCS code 72170 was billed by 1,856 providers across 1.2M claims, totaling $19.4M in Medicaid payments from 2018–2024. This code was used for 1.1M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.99
Providers Billing
1,798
National Spending
$19.4M
Avg/Median Ratio
1.90×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 72170
| # | Provider | Total Paid |
|---|---|---|
| 1 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $854K |
| 2 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $784K |
| 3 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $472K |
| 4 | Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children | $423K |
| 5 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $380K |
| 6 | Variety Children's Hospital Miami, FL · General Acute Care Hospital Children | $330K |
| 7 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $297K |
| 8 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $294K |
| 9 | Children's Hospital Corporation Boston, MA · Clinic/Center | $252K |
| 10 | The Children's Mercy Hospital Kansas City, MO · General Acute Care Hospital Children | $226K |
| 11 | The Nemours Foundation Wilmington, DE · General Acute Care Hospital Children | $221K |
| 12 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $213K |
| 13 | Texas Children's Hospital Houston, TX · General Acute Care Hospital Children | $211K |
| 14 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $208K |
| 15 | The Nemours Foundation Orlando, FL · General Acute Care Hospital Children | $198K |
| 16 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $175K |
| 17 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $175K |
| 18 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $172K |
| 19 | 1386709871 | $160K |
| 20 | 1710065933 | $147K |
Showing top 20 of 1,856 providers billing this code