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#5027 of 11K

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)

p10
$3.60
p25
$7.00
Median
$13.39
p75
$22.07
p90
$31.77
p95
$38.07
p99
$39.10

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

#ProviderTotal Paid
11669940003$233K
21730292541$42K
31548530421$11K
41629088604$9K
51841674520$6K
61316047855$5K
71265592539$3K
81285918722$3K
91194925784$1K
101689897423$921
111942378187$674
121194892455$510
131316264674$353
141932210002$271
151962591693$177
161811434350$57
171033517776$0

Showing top 17 of 17 providers billing this code