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#1689 of 11K

92226

HCPCS Procedure Code

HCPCS code 92226 is the #1,689 most-billed Medicaid procedure code, with $16.0M in payments across 1.0M claims from 2018–2024. The national median cost per claim is $12.45. Costs vary widely — the 90th percentile is $33.67 per claim, 2.7× the median.

Total Paid

$16.0M

0.00% of all spending

Total Claims

1.0M

Providers

1,203

Avg Cost/Claim

$15

National Cost Distribution

How much do providers bill per claim for 92226? Based on 1,163 providers billing this code nationally.

Median

$12.45

Average

$15.99

Std Dev

$14.62

Max

$117.57

Percentile Distribution (Cost per Claim)

p10
$2.04
p25
$6.26
Median
$12.45
p75
$21.71
p90
$33.67
p95
$41.22
p99
$76.41

50% of providers bill between $6.26 and $21.71 per claim for this code.

90% bill between $2.04 and $33.67.

Top 1% bill above $76.41.

About This Procedure

HCPCS code 92226 was billed by 1,203 providers across 1.0M claims, totaling $16.0M in Medicaid payments from 2018–2024. This code was used for 647K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.45

Providers Billing

1,163

National Spending

$16.0M

Avg/Median Ratio

1.28×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92226

#ProviderTotal Paid
11649306218$441K
21164578894$327K
31578523593$322K
41649563636$255K
51205847746$213K
61013453315$198K
71114931052$184K
81467611558$181K
91215161047$165K
101346663051$163K
111588703995$159K
121487632782$154K
131932211786$152K
141134164023$139K
151043275787$135K
161174884563$135K
171194802868$133K
181962591693$127K
191043277361$115K
201982958773$113K

Showing top 20 of 1,203 providers billing this code