92225
HCPCS Procedure Code
HCPCS code 92225 is the #1,887 most-billed Medicaid procedure code, with $12.2M in payments across 538K claims from 2018–2024. The national median cost per claim is $17.59. Costs vary widely — the 90th percentile is $44.61 per claim, 2.5× the median.
Total Paid
$12.2M
0.00% of all spending
Total Claims
538K
Providers
1,239
Avg Cost/Claim
$23
National Cost Distribution
How much do providers bill per claim for 92225? Based on 1,163 providers billing this code nationally.
Median
$17.59
Average
$22.35
Std Dev
$19.33
Max
$265.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $10.56 and $28.54 per claim for this code.
90% bill between $4.96 and $44.61.
Top 1% bill above $89.14.
About This Procedure
HCPCS code 92225 was billed by 1,239 providers across 538K claims, totaling $12.2M in Medicaid payments from 2018–2024. This code was used for 358K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$17.59
Providers Billing
1,163
National Spending
$12.2M
Avg/Median Ratio
1.27×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 92225
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1316054737 | $582K |
| 2 | 1649306218 | $323K |
| 3 | 1578523593 | $281K |
| 4 | 1679859524 | $236K |
| 5 | 1346663051 | $190K |
| 6 | 1467611558 | $164K |
| 7 | 1477694214 | $162K |
| 8 | 1326062084 | $161K |
| 9 | 1447391693 | $151K |
| 10 | 1932211786 | $148K |
| 11 | 1588703995 | $139K |
| 12 | 1073694303 | $132K |
| 13 | 1942318563 | $124K |
| 14 | 1205847746 | $124K |
| 15 | 1215161047 | $114K |
| 16 | 1487632782 | $112K |
| 17 | 1871889196 | $102K |
| 18 | 1144327362 | $92K |
| 19 | 1679635205 | $91K |
| 20 | 1295882587 | $86K |
Showing top 20 of 1,239 providers billing this code