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#7586 of 11K

92265

HCPCS Procedure Code

HCPCS code 92265 is the #7,586 most-billed Medicaid procedure code, with $14K in payments across 222 claims from 2018–2024. The national median cost per claim is $41.15.

Total Paid

$14K

0.00% of all spending

Total Claims

222

Providers

3

Avg Cost/Claim

$62

National Cost Distribution

How much do providers bill per claim for 92265? Based on 3 providers billing this code nationally.

Median

$41.15

Average

$44.06

Std Dev

$29.20

Max

$74.60

Percentile Distribution (Cost per Claim)

p10
$21.36
p25
$28.78
Median
$41.15
p75
$57.88
p90
$67.91
p95
$71.26
p99
$73.93

50% of providers bill between $28.78 and $57.88 per claim for this code.

90% bill between $21.36 and $67.91.

Top 1% bill above $73.93.

About This Procedure

HCPCS code 92265 was billed by 3 providers across 222 claims, totaling $14K in Medicaid payments from 2018–2024. This code was used for 185 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$41.15

Providers Billing

3

National Spending

$14K

Avg/Median Ratio

1.07×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.