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#5843 of 11K

92229

HCPCS Procedure Code

HCPCS code 92229 is the #5,843 most-billed Medicaid procedure code, with $130K in payments across 5,569 claims from 2018–2024. The national median cost per claim is $20.11. Costs vary widely — the 90th percentile is $46.38 per claim, 2.3× the median.

Total Paid

$130K

0.00% of all spending

Total Claims

5,569

Providers

35

Avg Cost/Claim

$23

National Cost Distribution

How much do providers bill per claim for 92229? Based on 28 providers billing this code nationally.

Median

$20.11

Average

$21.67

Std Dev

$20.46

Max

$91.48

Percentile Distribution (Cost per Claim)

p10
$1.08
p25
$5.65
Median
$20.11
p75
$26.98
p90
$46.38
p95
$53.69
p99
$81.48

50% of providers bill between $5.65 and $26.98 per claim for this code.

90% bill between $1.08 and $46.38.

Top 1% bill above $81.48.

About This Procedure

HCPCS code 92229 was billed by 35 providers across 5,569 claims, totaling $130K in Medicaid payments from 2018–2024. This code was used for 5,240 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$20.11

Providers Billing

28

National Spending

$130K

Avg/Median Ratio

1.08×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92229

#ProviderTotal Paid
11972086627$74K
21265596548$21K
31568403111$9K
41194974402$9K
5Alameda Health System

Oakland, CA · General Acute Care Hospital

$3K
61992007819$3K
71922074434$3K
81790028025$1K
9Stanford Health Care

Stanford, CA · General Acute Care Hospital

$1K
101376623736$1K
111013068105$680
121003544495$524
131568726446$428
141053601864$408
151376109637$341
161851821565$338
171679661524$313
181609169713$277
19County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$249
201083655567$215

Showing top 20 of 35 providers billing this code