92235
HCPCS Procedure Code
HCPCS code 92235 is the #1,428 most-billed Medicaid procedure code, with $23.6M in payments across 465K claims from 2018–2024. The national median cost per claim is $42.71. Costs vary widely — the 90th percentile is $89.52 per claim, 2.1× the median.
Total Paid
$23.6M
0.00% of all spending
Total Claims
465K
Providers
554
Avg Cost/Claim
$51
National Cost Distribution
How much do providers bill per claim for 92235? Based on 545 providers billing this code nationally.
Median
$42.71
Average
$50.22
Std Dev
$32.12
Max
$306.44
Percentile Distribution (Cost per Claim)
50% of providers bill between $28.74 and $65.99 per claim for this code.
90% bill between $18.16 and $89.52.
Top 1% bill above $144.12.
About This Procedure
HCPCS code 92235 was billed by 554 providers across 465K claims, totaling $23.6M in Medicaid payments from 2018–2024. This code was used for 430K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$42.71
Providers Billing
545
National Spending
$23.6M
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 92235
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1760541569 | $3.3M |
| 2 | 1114033404 | $3.0M |
| 3 | 1104221035 | $1.5M |
| 4 | 1730292541 | $1.1M |
| 5 | 1649563636 | $596K |
| 6 | 1942272364 | $400K |
| 7 | 1487077483 | $322K |
| 8 | 1164503694 | $289K |
| 9 | 1326052614 | $280K |
| 10 | 1720203862 | $276K |
| 11 | 1639101751 | $252K |
| 12 | 1083707822 | $243K |
| 13 | 1215207683 | $239K |
| 14 | 1487798773 | $227K |
| 15 | 1215003793 | $218K |
| 16 | 1376574707 | $207K |
| 17 | 1407916992 | $202K |
| 18 | 1245251222 | $184K |
| 19 | 1124001151 | $183K |
| 20 | 1376593863 | $176K |
Showing top 20 of 554 providers billing this code