91200
HCPCS Procedure Code
HCPCS code 91200 is the #2,074 most-billed Medicaid procedure code, with $9.4M in payments across 237K claims from 2018–2024. The national median cost per claim is $17.80. Costs vary widely — the 90th percentile is $79.22 per claim, 4.5× the median.
Total Paid
$9.4M
0.00% of all spending
Total Claims
237K
Providers
536
Avg Cost/Claim
$40
National Cost Distribution
How much do providers bill per claim for 91200? Based on 521 providers billing this code nationally.
Median
$17.80
Average
$32.37
Std Dev
$42.79
Max
$506.45
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.48 and $35.11 per claim for this code.
90% bill between $6.24 and $79.22.
Top 1% bill above $170.56.
About This Procedure
HCPCS code 91200 was billed by 536 providers across 237K claims, totaling $9.4M in Medicaid payments from 2018–2024. This code was used for 223K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$17.80
Providers Billing
521
National Spending
$9.4M
Avg/Median Ratio
1.82×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 91200
| # | Provider | Total Paid |
|---|---|---|
| 1 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $578K |
| 2 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $455K |
| 3 | Beth Israel Deaconess Medical Center, Inc. Boston, MA · General Acute Care Hospital | $432K |
| 4 | 1891716494 | $382K |
| 5 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $358K |
| 6 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $251K |
| 7 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $239K |
| 8 | 1063484483 | $190K |
| 9 | 1144266024 | $168K |
| 10 | 1447221742 | $150K |
| 11 | Children's Hospital Corporation Boston, MA · Clinic/Center | $147K |
| 12 | Alameda Health System Oakland, CA · General Acute Care Hospital | $145K |
| 13 | 1306868252 | $133K |
| 14 | Sage River Counseling Seattle, WA · Counselor Mental Health | $128K |
| 15 | Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital | $128K |
| 16 | 1235134024 | $124K |
| 17 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $124K |
| 18 | University Of Cincinnati Medical Center, Llc Cincinnati, OH · General Acute Care Hospital | $123K |
| 19 | 1053325647 | $117K |
| 20 | 1982799375 | $111K |
Showing top 20 of 536 providers billing this code