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#4549 of 11K

72202

HCPCS Procedure Code

HCPCS code 72202 is the #4,549 most-billed Medicaid procedure code, with $519K in payments across 22K claims from 2018–2024. The national median cost per claim is $17.27. Costs vary widely — the 90th percentile is $56.84 per claim, 3.3× the median.

Total Paid

$519K

0.00% of all spending

Total Claims

22K

Providers

126

Avg Cost/Claim

$24

National Cost Distribution

How much do providers bill per claim for 72202? Based on 120 providers billing this code nationally.

Median

$17.27

Average

$24.56

Std Dev

$24.49

Max

$174.52

Percentile Distribution (Cost per Claim)

p10
$5.44
p25
$7.91
Median
$17.27
p75
$29.75
p90
$56.84
p95
$67.44
p99
$95.38

50% of providers bill between $7.91 and $29.75 per claim for this code.

90% bill between $5.44 and $56.84.

Top 1% bill above $95.38.

About This Procedure

HCPCS code 72202 was billed by 126 providers across 22K claims, totaling $519K in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$17.27

Providers Billing

120

National Spending

$519K

Avg/Median Ratio

1.42×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 72202

#ProviderTotal Paid
1University Of Kentucky

Lexington, KY · General Acute Care Hospital

$165K
21548538200$56K
3Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$27K
41972004489$21K
5Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$17K
6Pikeville Medical Center Inc

Pikeville, KY · General Acute Care Hospital

$17K
7Ohio State University Hospitals

Columbus, OH · General Acute Care Hospital

$14K
8Arthritis & Rheumatology Associates Of South Jersey Pc

Vineland, NJ · Internal Medicine Rheumatology

$12K
91073799896$10K
10Ashland Hospital Corporation

Ashland, KY · Clinic/Center, Rural Health

$9K
111740283324$8K
121114948288$8K
13The Griffin Hospital

Derby, CT · Clinic/Center, Emergency Care

$8K
141184606600$7K
151447457775$7K
161871528026$7K
17Public Hospital District 1 Of King County

Renton, WA · General Acute Care Hospital

$6K
181437179710$6K
191326091448$6K
20Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$5K

Showing top 20 of 126 providers billing this code