#3374 of 11K

92275

HCPCS Procedure Code

HCPCS code 92275 is the #3,374 most-billed Medicaid procedure code, with $1.8M in payments across 32K claims from 2018–2024. The national median cost per claim is $45.77. Costs vary widely — the 90th percentile is $113.72 per claim, 2.5× the median.

Total Paid

$1.8M

0.00% of all spending

Total Claims

32K

Providers

135

Avg Cost/Claim

$58

National Cost Distribution

How much do providers bill per claim for 92275? Based on 127 providers billing this code nationally.

Median

$45.77

Average

$57.06

Std Dev

$38.85

Max

$169.88

Percentile Distribution (Cost per Claim)

p10

$13.53

p25

$25.73

Median

$45.77

p75

$81.59

p90

$113.72

p95

$135.05

p99

$147.19

50% of providers bill between $25.73 and $81.59 per claim for this code.

90% bill between $13.53 and $113.72.

Top 1% bill above $147.19.

About This Procedure

HCPCS code 92275 was billed by 135 providers across 32K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 29K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$45.77

Providers Billing

127

National Spending

$1.8M

Avg/Median Ratio

1.25×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92275

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1174500714	$187K	$72.67	1.6× median	Above Median
2	1851354724	$115K	$83.34	1.8× median	Above 75th
3	1932306123	$109K	$72.28	1.6× median	Above Median
4	1396887428	$104K	$69.50	1.5× median	Above Median
5	1477734838	$80K	$31.34	0.7× median	Below Median
6	1962513721	$68K	$112.61	2.5× median	Above 75th
7	1033388731	$66K	$120.34	2.6× median	Top 10%
8	1124264007	$56K	$108.50	2.4× median	Above 75th
9	1104871037	$55K	$61.94	1.4× median	Above Median
10	1396014031	$48K	$71.93	1.6× median	Above Median
11	1760788996	$41K	$72.22	1.6× median	Above Median
12	1356860811	$36K	$77.49	1.7× median	Above Median
13	1316494123	$35K	$73.42	1.6× median	Above Median
14	1124001151	$33K	$169.88	3.7× median	Top 1%
15	1326262817	$29K	$52.95	1.2× median	Above Median
16	1225209893	$29K	$76.21	1.7× median	Above Median
17	1225180797	$27K	$94.13	2.1× median	Above 75th
18	1235167644	$24K	$82.96	1.8× median	Above 75th
19	1538137401	$24K	$141.25	3.1× median	Top 10%
20	1366524910	$21K	$42.19	0.9× median	Below Median

Showing top 20 of 135 providers billing this code

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