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#6278 of 11K

92019

HCPCS Procedure Code

HCPCS code 92019 is the #6,278 most-billed Medicaid procedure code, with $78K in payments across 425 claims from 2018–2024. The national median cost per claim is $42.22. Costs vary widely — the 90th percentile is $546.81 per claim, 13.0× the median.

Total Paid

$78K

0.00% of all spending

Total Claims

425

Providers

7

Avg Cost/Claim

$184

National Cost Distribution

How much do providers bill per claim for 92019? Based on 7 providers billing this code nationally.

Median

$42.22

Average

$200.04

Std Dev

$337.19

Max

$932.16

Percentile Distribution (Cost per Claim)

p10
$12.46
p25
$22.83
Median
$42.22
p75
$184.20
p90
$546.81
p95
$739.49
p99
$893.63

50% of providers bill between $22.83 and $184.20 per claim for this code.

90% bill between $12.46 and $546.81.

Top 1% bill above $893.63.

About This Procedure

HCPCS code 92019 was billed by 7 providers across 425 claims, totaling $78K in Medicaid payments from 2018–2024. This code was used for 376 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$42.22

Providers Billing

7

National Spending

$78K

Avg/Median Ratio

4.74×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 92019

#ProviderTotal Paid
1Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$57K
2Vhs Childrens Hospital Of Michigan Inc

Detroit, MI · Clinic/Center, Ambulatory Surgical

$14K
3Riverside University Health Systems - Medical Center

Moreno Valley, CA · General Acute Care Hospital

$5K
41225768971$1K
51366598807$852
61457710014$591
71194995696$348

Showing top 7 of 7 providers billing this code