#2722 of 11K

92100

HCPCS Procedure Code

HCPCS code 92100 is the #2,722 most-billed Medicaid procedure code, with $4.0M in payments across 118K claims from 2018–2024. The national median cost per claim is $30.29. Costs vary widely — the 90th percentile is $62.16 per claim, 2.1× the median.

Total Paid

$4.0M

0.00% of all spending

Total Claims

118K

Providers

198

Avg Cost/Claim

$34

National Cost Distribution

How much do providers bill per claim for 92100? Based on 183 providers billing this code nationally.

Median

$30.29

Average

$33.62

Std Dev

$23.87

Max

$159.85

Percentile Distribution (Cost per Claim)

p10

$4.49

p25

$15.79

Median

$30.29

p75

$50.77

p90

$62.16

p95

$74.39

p99

$87.86

50% of providers bill between $15.79 and $50.77 per claim for this code.

90% bill between $4.49 and $62.16.

Top 1% bill above $87.86.

About This Procedure

HCPCS code 92100 was billed by 198 providers across 118K claims, totaling $4.0M in Medicaid payments from 2018–2024. This code was used for 109K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$30.29

Providers Billing

183

National Spending

$4.0M

Avg/Median Ratio

1.11×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92100

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1013453315	$394K	$64.63	2.1× median	Top 10%
2	1598274243	$341K	$64.73	2.1× median	Top 10%
3	1174039531	$305K	$59.93	2.0× median	Above 75th
4	1306078514	$171K	$79.11	2.6× median	Top 10%
5	1770560088	$152K	$32.47	1.1× median	Above Median
6	1083101075	$134K	$14.18	0.5× median	Below Median
7	1851328199	$111K	$32.67	1.1× median	Above Median
8	1184777401	$105K	$41.38	1.4× median	Above Median
9	1730292541	$102K	$35.31	1.2× median	Above Median
10	1568632271	$82K	$59.55	2.0× median	Above 75th
11	1437236213	$81K	$31.81	1.1× median	Above Median
12	1972681849	$81K	$40.81	1.3× median	Above Median
13	1386120616	$75K	$62.28	2.1× median	Top 10%
14	1922192343	$73K	$28.58	0.9× median	Below Median
15	1588627749	$72K	$54.37	1.8× median	Above 75th
16	1699944298	$71K	$19.62	0.6× median	Below Median
17	1568541407	$68K	$25.60	0.8× median	Below Median
18	1528140464	$64K	$37.96	1.3× median	Above Median
19	1265596548	$50K	$51.79	1.7× median	Above 75th
20	1548289671	$50K	$17.00	0.6× median	Below Median

Showing top 20 of 198 providers billing this code

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