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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1114033404 | $2.9M |
| 2 | 1760541569 | $2.2M |
| 3 | 1609064153 | $1.4M |
| 4 | 1245251222 | $1.2M |
| 5 | 1104221035 | $1.0M |
| 6 | 1215161047 | $967K |
| 7 | 1720620313 | $934K |
| 8 | 1487637500 | $893K |
| 9 | 1710064589 | $856K |
| 10 | 1649563636 | $854K |
| 11 | Ahava Medical And Rehabilitation Center, Llc Brooklyn, NY · Rehabilitation Practitioner | $853K |
| 12 | 1336321728 | $802K |
| 13 | 1245427756 | $794K |
| 14 | 1821441221 | $790K |
| 15 | 1689044067 | $788K |
| 16 | 1952595084 | $756K |
| 17 | 1962513721 | $710K |
| 18 | 1932211786 | $701K |
| 19 | 1295826485 | $696K |
| 20 | 1730321795 | $689K |
Showing top 20 of 7,949 providers billing this code