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#1012 of 11K

92133

HCPCS Procedure Code

HCPCS code 92133 is the #1,012 most-billed Medicaid procedure code, with $48.3M in payments across 2.5M claims from 2018–2024. The national median cost per claim is $19.09.

Total Paid

$48.3M

0.00% of all spending

Total Claims

2.5M

Providers

3,435

Avg Cost/Claim

$19

National Cost Distribution

How much do providers bill per claim for 92133? Based on 3,337 providers billing this code nationally.

Median

$19.09

Average

$19.84

Std Dev

$12.41

Max

$203.35

Percentile Distribution (Cost per Claim)

p10
$6.37
p25
$11.88
Median
$19.09
p75
$26.14
p90
$32.62
p95
$36.67
p99
$58.15

50% of providers bill between $11.88 and $26.14 per claim for this code.

90% bill between $6.37 and $32.62.

Top 1% bill above $58.15.

About This Procedure

HCPCS code 92133 was billed by 3,435 providers across 2.5M claims, totaling $48.3M in Medicaid payments from 2018–2024. This code was used for 2.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$19.09

Providers Billing

3,337

National Spending

$48.3M

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92133

#ProviderTotal Paid
11114033404$688K
21114931052$563K
31760541569$519K
41245251222$420K
51356860811$415K
61649306218$393K
71346663051$346K
81215161047$334K
9Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$306K
101962746693$301K
111245254630$297K
121588703995$292K
131700995941$288K
141316146574$278K
151356775100$264K
161447299797$248K
171699873067$245K
181073970687$239K
191992946180$238K
201285105866$233K

Showing top 20 of 3,435 providers billing this code