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#7376 of 11K

91132

HCPCS Procedure Code

HCPCS code 91132 is the #7,376 most-billed Medicaid procedure code, with $19K in payments across 276 claims from 2018–2024. The national median cost per claim is $7.41. Costs vary widely — the 90th percentile is $72.91 per claim, 9.8× the median.

Total Paid

$19K

0.00% of all spending

Total Claims

276

Providers

3

Avg Cost/Claim

$70

National Cost Distribution

How much do providers bill per claim for 91132? Based on 3 providers billing this code nationally.

Median

$7.41

Average

$33.47

Std Dev

$48.38

Max

$89.29

Percentile Distribution (Cost per Claim)

p10
$4.45
p25
$5.56
Median
$7.41
p75
$48.35
p90
$72.91
p95
$81.10
p99
$87.65

50% of providers bill between $5.56 and $48.35 per claim for this code.

90% bill between $4.45 and $72.91.

Top 1% bill above $87.65.

About This Procedure

HCPCS code 91132 was billed by 3 providers across 276 claims, totaling $19K in Medicaid payments from 2018–2024. This code was used for 178 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.41

Providers Billing

3

National Spending

$19K

Avg/Median Ratio

4.52×

Highly skewed — outlier-driven

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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