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#2891 of 11K

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)

p10
$1.37
p25
$5.29
Median
$11.30
p75
$18.82
p90
$32.69
p95
$47.35
p99
$83.72

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

#ProviderTotal Paid
1Whybee

Brooklyn, NY · Case Management

$2.4M
2Community Care Health Network Llc

Nashville, TN · Nurse Practitioner

$174K
3Geisinger Clinic

Danville, PA · Surgery

$104K
41992809412$47K
5The Milton S Hershey Medical Center

Hershey, PA · General Acute Care Hospital

$40K
6Vanderbilt University Medical Center

Nashville, TN · Transplant Surgery

$35K
7Maricopa County Special Health Care District

Phoenix, AZ · General Acute Care Hospital

$35K
81366492902$28K
91427176569$19K
101780668921$15K
111093158347$15K
12Bronxcare Health System

Bronx, NY · General Acute Care Hospital

$14K
13District Medical Group, Inc

Phoenix, AZ · Anesthesiology

$12K
141255482089$11K
15Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$10K
161558468256$9K
17Lsu Health Sciences Center Shreveport Faculty Group Practice

Shreveport, LA · Oral & Maxillofacial Surgery

$8K
181336668284$8K
19South County Community Health Center Inc

East Palo Alto, CA · Clinic/Center Primary Care

$8K
20Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$7K

Showing top 20 of 126 providers billing this code