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#2257 of 11K

92286

HCPCS Procedure Code

HCPCS code 92286 is the #2,257 most-billed Medicaid procedure code, with $7.4M in payments across 212K claims from 2018–2024. The national median cost per claim is $29.05. Costs vary widely — the 90th percentile is $82.82 per claim, 2.9× the median.

Total Paid

$7.4M

0.00% of all spending

Total Claims

212K

Providers

292

Avg Cost/Claim

$35

National Cost Distribution

How much do providers bill per claim for 92286? Based on 275 providers billing this code nationally.

Median

$29.05

Average

$35.83

Std Dev

$28.02

Max

$124.14

Percentile Distribution (Cost per Claim)

p10
$7.62
p25
$12.21
Median
$29.05
p75
$56.78
p90
$82.82
p95
$87.05
p99
$96.80

50% of providers bill between $12.21 and $56.78 per claim for this code.

90% bill between $7.62 and $82.82.

Top 1% bill above $96.80.

About This Procedure

HCPCS code 92286 was billed by 292 providers across 212K claims, totaling $7.4M in Medicaid payments from 2018–2024. This code was used for 205K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$29.05

Providers Billing

275

National Spending

$7.4M

Avg/Median Ratio

1.23×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92286

#ProviderTotal Paid
11427465293$411K
21508021494$284K
31174039531$266K
41619927472$263K
51013963057$258K
61598274243$246K
71316257421$232K
81386120616$224K
91235630831$219K
101063555316$195K
111013453315$170K
121356935795$150K
131548251713$148K
141124015946$126K
151588090773$126K
161679526040$125K
171730470923$109K
181144284464$99K
191780091272$99K
201356390488$96K

Showing top 20 of 292 providers billing this code