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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1649306218 | $441K |
| 2 | 1164578894 | $327K |
| 3 | 1578523593 | $322K |
| 4 | 1649563636 | $255K |
| 5 | 1205847746 | $213K |
| 6 | 1013453315 | $198K |
| 7 | 1114931052 | $184K |
| 8 | 1467611558 | $181K |
| 9 | 1215161047 | $165K |
| 10 | 1346663051 | $163K |
| 11 | 1588703995 | $159K |
| 12 | 1487632782 | $154K |
| 13 | 1932211786 | $152K |
| 14 | 1134164023 | $139K |
| 15 | 1043275787 | $135K |
| 16 | 1174884563 | $135K |
| 17 | 1194802868 | $133K |
| 18 | 1962591693 | $127K |
| 19 | 1043277361 | $115K |
| 20 | 1982958773 | $113K |
Showing top 20 of 1,203 providers billing this code