92228
HCPCS Procedure Code
HCPCS code 92228 is the #2,891 most-billed Medicaid procedure code, with $3.1M in payments across 70K claims from 2018–2024. The national median cost per claim is $11.30. Costs vary widely — the 90th percentile is $32.69 per claim, 2.9× the median.
Total Paid
$3.1M
0.00% of all spending
Total Claims
70K
Providers
126
Avg Cost/Claim
$44
National Cost Distribution
How much do providers bill per claim for 92228? Based on 104 providers billing this code nationally.
Median
$11.30
Average
$15.99
Std Dev
$17.55
Max
$99.81
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.29 and $18.82 per claim for this code.
90% bill between $1.37 and $32.69.
Top 1% bill above $83.72.
About This Procedure
HCPCS code 92228 was billed by 126 providers across 70K claims, totaling $3.1M in Medicaid payments from 2018–2024. This code was used for 64K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.30
Providers Billing
104
National Spending
$3.1M
Avg/Median Ratio
1.42×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 92228
| # | Provider | Total Paid |
|---|---|---|
| 1 | Whybee Brooklyn, NY · Case Management | $2.4M |
| 2 | Community Care Health Network Llc Nashville, TN · Nurse Practitioner | $174K |
| 3 | Geisinger Clinic Danville, PA · Surgery | $104K |
| 4 | 1992809412 | $47K |
| 5 | The Milton S Hershey Medical Center Hershey, PA · General Acute Care Hospital | $40K |
| 6 | Vanderbilt University Medical Center Nashville, TN · Transplant Surgery | $35K |
| 7 | Maricopa County Special Health Care District Phoenix, AZ · General Acute Care Hospital | $35K |
| 8 | 1366492902 | $28K |
| 9 | 1427176569 | $19K |
| 10 | 1780668921 | $15K |
| 11 | 1093158347 | $15K |
| 12 | Bronxcare Health System Bronx, NY · General Acute Care Hospital | $14K |
| 13 | District Medical Group, Inc Phoenix, AZ · Anesthesiology | $12K |
| 14 | 1255482089 | $11K |
| 15 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $10K |
| 16 | 1558468256 | $9K |
| 17 | Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA · Oral & Maxillofacial Surgery | $8K |
| 18 | 1336668284 | $8K |
| 19 | South County Community Health Center Inc East Palo Alto, CA · Clinic/Center Primary Care | $8K |
| 20 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $7K |
Showing top 20 of 126 providers billing this code