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#440 of 11K

92250

Fundus photography with interpretation and report

Fundus photography with interpretation and report is the #440 most-billed Medicaid procedure code, with $227.3M in payments across 7.9M claims from 2018–2024. The national median cost per claim is $27.95.

Total Paid

$227.3M

0.02% of all spending

Total Claims

7.9M

Providers

7,949

Avg Cost/Claim

$29

National Cost Distribution

How much do providers bill per claim for 92250? Based on 7,458 providers billing this code nationally.

Median

$27.95

Average

$28.29

Std Dev

$17.85

Max

$574.95

Percentile Distribution (Cost per Claim)

p10
$7.97
p25
$16.94
Median
$27.95
p75
$38.64
p90
$45.93
p95
$51.67
p99
$67.35

50% of providers bill between $16.94 and $38.64 per claim for this code.

90% bill between $7.97 and $45.93.

Top 1% bill above $67.35.

About This Procedure

HCPCS code 92250 (Fundus photography with interpretation and report) was billed by 7,949 providers across 7.9M claims, totaling $227.3M in Medicaid payments from 2018–2024. This code was used for 7.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$27.95

Providers Billing

7,458

National Spending

$227.3M

Avg/Median Ratio

1.01×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92250

#ProviderTotal Paid
11114033404$2.9M
21760541569$2.2M
31609064153$1.4M
41245251222$1.2M
51104221035$1.0M
61215161047$967K
71720620313$934K
81487637500$893K
91710064589$856K
101649563636$854K
11Ahava Medical And Rehabilitation Center, Llc

Brooklyn, NY · Rehabilitation Practitioner

$853K
121336321728$802K
131245427756$794K
141821441221$790K
151689044067$788K
161952595084$756K
171962513721$710K
181932211786$701K
191295826485$696K
201730321795$689K

Showing top 20 of 7,949 providers billing this code