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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1801936679 | $64K |
| 2 | New York City Health And Hospitals Corporation Jamaica, NY · General Acute Care Hospital | $14K |
| 3 | 1679660617 | $1K |
| 4 | 1073698601 | $641 |
| 5 | 1780758482 | $379 |
| 6 | 1376593863 | $321 |
Showing top 6 of 6 providers billing this code