92227
HCPCS Procedure Code
HCPCS code 92227 is the #3,285 most-billed Medicaid procedure code, with $2.0M in payments across 145K claims from 2018–2024. The national median cost per claim is $7.85. Costs vary widely — the 90th percentile is $31.14 per claim, 4.0× the median.
Total Paid
$2.0M
0.00% of all spending
Total Claims
145K
Providers
174
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for 92227? Based on 98 providers billing this code nationally.
Median
$7.85
Average
$15.16
Std Dev
$24.19
Max
$143.44
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.35 and $16.23 per claim for this code.
90% bill between $0.24 and $31.14.
Top 1% bill above $142.15.
About This Procedure
HCPCS code 92227 was billed by 174 providers across 145K claims, totaling $2.0M in Medicaid payments from 2018–2024. This code was used for 141K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.85
Providers Billing
98
National Spending
$2.0M
Avg/Median Ratio
1.93×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 92227
| # | Provider | Total Paid |
|---|---|---|
| 1 | Southern California Permanente Medical Group Baldwin Park, CA · Health Maintenance Organization | $877K |
| 2 | Community Care Health Network Llc Nashville, TN · Nurse Practitioner | $656K |
| 3 | Kaiser Foundation Health Plan Of The Northwest Portland, OR · General Practice | $122K |
| 4 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $63K |
| 5 | Texas Children's Physician Group Houston, TX · Pediatrics | $40K |
| 6 | Dallas County Hospital District Dallas, TX · Clinic/Center, Ambulatory Surgical | $39K |
| 7 | 1184624009 | $27K |
| 8 | Bronxcare Health System Bronx, NY · General Acute Care Hospital | $17K |
| 9 | Southern California Permanente Medical Group Harbor City, CA · Health Maintenance Organization | $17K |
| 10 | 1285105866 | $15K |
| 11 | Southern California Permanente Medical Group Los Angeles, CA · Health Maintenance Organization | $13K |
| 12 | 1760599724 | $12K |
| 13 | 1689158487 | $12K |
| 14 | 1275801359 | $8K |
| 15 | 1578552543 | $8K |
| 16 | 1124182902 | $7K |
| 17 | 1750845863 | $6K |
| 18 | New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine | $6K |
| 19 | 1871195644 | $5K |
| 20 | 1942644661 | $5K |
Showing top 20 of 174 providers billing this code