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#6247 of 11K

92240

HCPCS Procedure Code

HCPCS code 92240 is the #6,247 most-billed Medicaid procedure code, with $81K in payments across 1,587 claims from 2018–2024. The national median cost per claim is $38.53. Costs vary widely — the 90th percentile is $99.17 per claim, 2.6× the median.

Total Paid

$81K

0.00% of all spending

Total Claims

1,587

Providers

6

Avg Cost/Claim

$51

National Cost Distribution

How much do providers bill per claim for 92240? Based on 6 providers billing this code nationally.

Median

$38.53

Average

$55.28

Std Dev

$47.83

Max

$151.34

Percentile Distribution (Cost per Claim)

p10
$28.14
p25
$31.69
Median
$38.53
p75
$46.50
p90
$99.17
p95
$125.26
p99
$146.12

50% of providers bill between $31.69 and $46.50 per claim for this code.

90% bill between $28.14 and $99.17.

Top 1% bill above $146.12.

About This Procedure

HCPCS code 92240 was billed by 6 providers across 1,587 claims, totaling $81K in Medicaid payments from 2018–2024. This code was used for 1,555 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$38.53

Providers Billing

6

National Spending

$81K

Avg/Median Ratio

1.43×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92240

#ProviderTotal Paid
11801936679$64K
2New York City Health And Hospitals Corporation

Jamaica, NY · General Acute Care Hospital

$14K
31679660617$1K
41073698601$641
51780758482$379
61376593863$321

Showing top 6 of 6 providers billing this code