92201
HCPCS Procedure Code
HCPCS code 92201 is the #1,908 most-billed Medicaid procedure code, with $11.9M in payments across 802K claims from 2018–2024. The national median cost per claim is $12.88.
Total Paid
$11.9M
0.00% of all spending
Total Claims
802K
Providers
1,077
Avg Cost/Claim
$15
National Cost Distribution
How much do providers bill per claim for 92201? Based on 1,011 providers billing this code nationally.
Median
$12.88
Average
$14.51
Std Dev
$11.57
Max
$91.95
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.26 and $18.56 per claim for this code.
90% bill between $2.95 and $24.87.
Top 1% bill above $62.80.
About This Procedure
HCPCS code 92201 was billed by 1,077 providers across 802K claims, totaling $11.9M in Medicaid payments from 2018–2024. This code was used for 671K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.88
Providers Billing
1,011
National Spending
$11.9M
Avg/Median Ratio
1.13×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 92201
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1649563636 | $431K |
| 2 | 1043275787 | $316K |
| 3 | 1215161047 | $278K |
| 4 | 1598997009 | $213K |
| 5 | 1467429647 | $183K |
| 6 | 1992946180 | $135K |
| 7 | 1194802868 | $132K |
| 8 | 1588703995 | $128K |
| 9 | 1679591887 | $128K |
| 10 | 1225001654 | $122K |
| 11 | 1962591693 | $122K |
| 12 | 1720098320 | $120K |
| 13 | 1164578894 | $111K |
| 14 | 1467420240 | $103K |
| 15 | 1528022027 | $102K |
| 16 | 1669640512 | $102K |
| 17 | 1760507149 | $101K |
| 18 | 1336576982 | $101K |
| 19 | 1477554814 | $100K |
| 20 | 1659394294 | $97K |
Showing top 20 of 1,077 providers billing this code