92242
HCPCS Procedure Code
HCPCS code 92242 is the #3,808 most-billed Medicaid procedure code, with $1.1M in payments across 11K claims from 2018–2024. The national median cost per claim is $73.42. Costs vary widely — the 90th percentile is $150.53 per claim, 2.1× the median.
Total Paid
$1.1M
0.00% of all spending
Total Claims
11K
Providers
36
Avg Cost/Claim
$105
National Cost Distribution
How much do providers bill per claim for 92242? Based on 34 providers billing this code nationally.
Median
$73.42
Average
$79.07
Std Dev
$59.23
Max
$223.18
Percentile Distribution (Cost per Claim)
50% of providers bill between $29.13 and $104.25 per claim for this code.
90% bill between $14.04 and $150.53.
Top 1% bill above $219.68.
About This Procedure
HCPCS code 92242 was billed by 36 providers across 11K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$73.42
Providers Billing
34
National Spending
$1.1M
Avg/Median Ratio
1.08×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 92242
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1972704450 | $301K |
| 2 | 1114033404 | $189K |
| 3 | 1104221035 | $185K |
| 4 | 1033170675 | $86K |
| 5 | 1487798773 | $62K |
| 6 | 1962767541 | $54K |
| 7 | 1760541569 | $50K |
| 8 | 1346663051 | $31K |
| 9 | 1356330369 | $29K |
| 10 | 1124071717 | $24K |
| 11 | 1376574707 | $23K |
| 12 | 1063561439 | $20K |
| 13 | 1396755823 | $19K |
| 14 | 1881613297 | $12K |
| 15 | 1972663656 | $9K |
| 16 | 1992040240 | $9K |
| 17 | 1477529303 | $8K |
| 18 | 1194779207 | $6K |
| 19 | 1326249558 | $4K |
| 20 | 1487602611 | $4K |
Showing top 20 of 36 providers billing this code