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#1911 of 11K

92202

HCPCS Procedure Code

HCPCS code 92202 is the #1,911 most-billed Medicaid procedure code, with $11.7M in payments across 1.2M claims from 2018–2024. The national median cost per claim is $7.06. Costs vary widely — the 90th percentile is $16.58 per claim, 2.3× the median.

Total Paid

$11.7M

0.00% of all spending

Total Claims

1.2M

Providers

1,273

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for 92202? Based on 1,221 providers billing this code nationally.

Median

$7.06

Average

$8.87

Std Dev

$7.52

Max

$75.48

Percentile Distribution (Cost per Claim)

p10
$1.82
p25
$3.96
Median
$7.06
p75
$12.01
p90
$16.58
p95
$23.11
p99
$31.79

50% of providers bill between $3.96 and $12.01 per claim for this code.

90% bill between $1.82 and $16.58.

Top 1% bill above $31.79.

About This Procedure

HCPCS code 92202 was billed by 1,273 providers across 1.2M claims, totaling $11.7M in Medicaid payments from 2018–2024. This code was used for 1.1M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.06

Providers Billing

1,221

National Spending

$11.7M

Avg/Median Ratio

1.26×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92202

#ProviderTotal Paid
11225001654$469K
21649306218$416K
31033521281$322K
41346663051$282K
51164578894$246K
61528409216$239K
71477083459$208K
81326062084$200K
9Newyork-presbyterian-queens

Flushing, NY · General Acute Care Hospital

$185K
101982958773$184K
111679100721$171K
121134164023$161K
131356860811$153K
141588703995$150K
151174884563$147K
161164435780$141K
171215228077$135K
181437717865$133K
191023008612$115K
201114931052$111K

Showing top 20 of 1,273 providers billing this code

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