92081
HCPCS Procedure Code
HCPCS code 92081 is the #2,097 most-billed Medicaid procedure code, with $9.0M in payments across 1.0M claims from 2018–2024. The national median cost per claim is $11.63. Costs vary widely — the 90th percentile is $31.37 per claim, 2.7× the median.
Total Paid
$9.0M
0.00% of all spending
Total Claims
1.0M
Providers
992
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for 92081? Based on 790 providers billing this code nationally.
Median
$11.63
Average
$13.73
Std Dev
$13.23
Max
$88.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.11 and $23.57 per claim for this code.
90% bill between $0.22 and $31.37.
Top 1% bill above $49.61.
About This Procedure
HCPCS code 92081 was billed by 992 providers across 1.0M claims, totaling $9.0M in Medicaid payments from 2018–2024. This code was used for 983K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.63
Providers Billing
790
National Spending
$9.0M
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 92081
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1730321795 | $293K |
| 2 | 1184048449 | $231K |
| 3 | 1205886314 | $213K |
| 4 | 1114192390 | $204K |
| 5 | 1619123379 | $198K |
| 6 | 1912226689 | $189K |
| 7 | 1144405762 | $163K |
| 8 | 1073935466 | $162K |
| 9 | La Maestra Family Clinic, Inc. San Diego, CA · Clinic/Center, Federally Qualified Health Center (FQHC) | $156K |
| 10 | 1760594089 | $150K |
| 11 | 1447391693 | $147K |
| 12 | 1992838015 | $137K |
| 13 | 1255445300 | $134K |
| 14 | 1922190719 | $133K |
| 15 | 1588967749 | $132K |
| 16 | 1346375763 | $121K |
| 17 | 1508884438 | $109K |
| 18 | 1851357560 | $102K |
| 19 | 1841311867 | $100K |
| 20 | 1477642510 | $98K |
Showing top 20 of 992 providers billing this code