92270
HCPCS Procedure Code
HCPCS code 92270 is the #4,772 most-billed Medicaid procedure code, with $411K in payments across 8,319 claims from 2018–2024. The national median cost per claim is $46.07. Costs vary widely — the 90th percentile is $108.30 per claim, 2.4× the median.
Total Paid
$411K
0.00% of all spending
Total Claims
8,319
Providers
14
Avg Cost/Claim
$49
National Cost Distribution
How much do providers bill per claim for 92270? Based on 13 providers billing this code nationally.
Median
$46.07
Average
$54.21
Std Dev
$42.37
Max
$160.08
Percentile Distribution (Cost per Claim)
50% of providers bill between $33.62 and $54.63 per claim for this code.
90% bill between $16.96 and $108.30.
Top 1% bill above $155.07.
About This Procedure
HCPCS code 92270 was billed by 14 providers across 8,319 claims, totaling $411K in Medicaid payments from 2018–2024. This code was used for 5,855 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$46.07
Providers Billing
13
National Spending
$411K
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 92270
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013259084 | $172K |
| 2 | 1760408686 | $92K |
| 3 | 1275916652 | $41K |
| 4 | 1740586627 | $41K |
| 5 | 1639275084 | $28K |
| 6 | 1134422660 | $27K |
| 7 | 1164437836 | $3K |
| 8 | 1619082625 | $3K |
| 9 | 1083981344 | $2K |
| 10 | 1699005900 | $1K |
| 11 | 1407805500 | $660 |
| 12 | 1942326244 | $188 |
| 13 | 1801045778 | $161 |
| 14 | 1861826919 | $0 |
Showing top 14 of 14 providers billing this code