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#1887 of 11K

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)

p10
$4.96
p25
$10.56
Median
$17.59
p75
$28.54
p90
$44.61
p95
$54.45
p99
$89.14

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

#ProviderTotal Paid
11316054737$582K
21649306218$323K
31578523593$281K
41679859524$236K
51346663051$190K
61467611558$164K
71477694214$162K
81326062084$161K
91447391693$151K
101932211786$148K
111588703995$139K
121073694303$132K
131942318563$124K
141205847746$124K
151215161047$114K
161487632782$112K
171871889196$102K
181144327362$92K
191679635205$91K
201295882587$86K

Showing top 20 of 1,239 providers billing this code