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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $57K |
| 2 | Vhs Childrens Hospital Of Michigan Inc Detroit, MI · Clinic/Center, Ambulatory Surgical | $14K |
| 3 | Riverside University Health Systems - Medical Center Moreno Valley, CA · General Acute Care Hospital | $5K |
| 4 | 1225768971 | $1K |
| 5 | 1366598807 | $852 |
| 6 | 1457710014 | $591 |
| 7 | 1194995696 | $348 |
Showing top 7 of 7 providers billing this code