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#1723 of 11K

92273

HCPCS Procedure Code

HCPCS code 92273 is the #1,723 most-billed Medicaid procedure code, with $15.4M in payments across 266K claims from 2018–2024. The national median cost per claim is $53.16.

Total Paid

$15.4M

0.00% of all spending

Total Claims

266K

Providers

342

Avg Cost/Claim

$58

National Cost Distribution

How much do providers bill per claim for 92273? Based on 333 providers billing this code nationally.

Median

$53.16

Average

$53.99

Std Dev

$33.56

Max

$160.57

Percentile Distribution (Cost per Claim)

p10
$9.74
p25
$26.53
Median
$53.16
p75
$75.25
p90
$100.77
p95
$110.85
p99
$138.11

50% of providers bill between $26.53 and $75.25 per claim for this code.

90% bill between $9.74 and $100.77.

Top 1% bill above $138.11.

About This Procedure

HCPCS code 92273 was billed by 342 providers across 266K claims, totaling $15.4M in Medicaid payments from 2018–2024. This code was used for 240K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$53.16

Providers Billing

333

National Spending

$15.4M

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92273

#ProviderTotal Paid
11962513721$807K
21851354724$798K
31932306123$694K
41801874896$686K
51396887428$684K
61841268273$601K
71144219379$474K
81124001151$458K
91396014031$435K
101760507495$390K
111821441221$356K
121962591693$319K
131013163005$282K
141689620015$271K
151174500714$263K
161366524910$225K
171730292541$218K
181699078030$202K
191700440948$196K
201598274243$190K

Showing top 20 of 342 providers billing this code