92260
HCPCS Procedure Code
HCPCS code 92260 is the #5,027 most-billed Medicaid procedure code, with $317K in payments across 11K claims from 2018–2024. The national median cost per claim is $13.39. Costs vary widely — the 90th percentile is $31.77 per claim, 2.4× the median.
Total Paid
$317K
0.00% of all spending
Total Claims
11K
Providers
17
Avg Cost/Claim
$28
National Cost Distribution
How much do providers bill per claim for 92260? Based on 16 providers billing this code nationally.
Median
$13.39
Average
$15.94
Std Dev
$11.80
Max
$39.36
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.00 and $22.07 per claim for this code.
90% bill between $3.60 and $31.77.
Top 1% bill above $39.10.
About This Procedure
HCPCS code 92260 was billed by 17 providers across 11K claims, totaling $317K in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.39
Providers Billing
16
National Spending
$317K
Avg/Median Ratio
1.19×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 92260
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1669940003 | $233K |
| 2 | 1730292541 | $42K |
| 3 | 1548530421 | $11K |
| 4 | 1629088604 | $9K |
| 5 | 1841674520 | $6K |
| 6 | 1316047855 | $5K |
| 7 | 1265592539 | $3K |
| 8 | 1285918722 | $3K |
| 9 | 1194925784 | $1K |
| 10 | 1689897423 | $921 |
| 11 | 1942378187 | $674 |
| 12 | 1194892455 | $510 |
| 13 | 1316264674 | $353 |
| 14 | 1932210002 | $271 |
| 15 | 1962591693 | $177 |
| 16 | 1811434350 | $57 |
| 17 | 1033517776 | $0 |
Showing top 17 of 17 providers billing this code