78492
HCPCS Procedure Code
HCPCS code 78492 is the #2,170 most-billed Medicaid procedure code, with $8.3M in payments across 35K claims from 2018–2024. The national median cost per claim is $54.47. Costs vary widely — the 90th percentile is $531.49 per claim, 9.8× the median.
Total Paid
$8.3M
0.00% of all spending
Total Claims
35K
Providers
117
Avg Cost/Claim
$239
National Cost Distribution
How much do providers bill per claim for 78492? Based on 108 providers billing this code nationally.
Median
$54.47
Average
$200.91
Std Dev
$293.21
Max
$1,298.99
Percentile Distribution (Cost per Claim)
50% of providers bill between $14.48 and $274.33 per claim for this code.
90% bill between $4.56 and $531.49.
Top 1% bill above $1,232.28.
About This Procedure
HCPCS code 78492 was billed by 117 providers across 35K claims, totaling $8.3M in Medicaid payments from 2018–2024. This code was used for 32K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$54.47
Providers Billing
108
National Spending
$8.3M
Avg/Median Ratio
3.69×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 78492
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1336147859 | $2.7M |
| 2 | 1730137480 | $1.4M |
| 3 | 1194723601 | $850K |
| 4 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $354K |
| 5 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $296K |
| 6 | 1245218619 | $253K |
| 7 | 1306876065 | $206K |
| 8 | 1750846614 | $194K |
| 9 | Carilion Medical Center Roanoke, VA · General Acute Care Hospital | $152K |
| 10 | 1710909585 | $149K |
| 11 | 1831248236 | $134K |
| 12 | 1144265547 | $127K |
| 13 | 1770830606 | $101K |
| 14 | 1104870187 | $94K |
| 15 | 1538252457 | $88K |
| 16 | 1639172372 | $79K |
| 17 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $77K |
| 18 | 1255382545 | $73K |
| 19 | 1023073525 | $68K |
| 20 | 1316308406 | $59K |
Showing top 20 of 117 providers billing this code