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#299 of 11K

92340

Fitting of spectacles, except for aphakia

Fitting of spectacles, except for aphakia is the #299 most-billed Medicaid procedure code, with $468.0M in payments across 22.0M claims from 2018–2024. The national median cost per claim is $19.46.

Total Paid

$468.0M

0.04% of all spending

Total Claims

22.0M

Providers

13K

Avg Cost/Claim

$21

National Cost Distribution

How much do providers bill per claim for 92340? Based on 13K providers billing this code nationally.

Median

$19.46

Average

$21.13

Std Dev

$14.13

Max

$669.55

Percentile Distribution (Cost per Claim)

p10
$7.83
p25
$14.32
Median
$19.46
p75
$26.96
p90
$31.04
p95
$46.40
p99
$64.72

50% of providers bill between $14.32 and $26.96 per claim for this code.

90% bill between $7.83 and $31.04.

Top 1% bill above $64.72.

About This Procedure

HCPCS code 92340 (Fitting of spectacles, except for aphakia) was billed by 13K providers across 22.0M claims, totaling $468.0M in Medicaid payments from 2018–2024. This code was used for 20.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$19.46

Providers Billing

13K

National Spending

$468.0M

Avg/Median Ratio

1.09×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92340

#ProviderTotal Paid
1Tanana Chiefs Conference

Fairbanks, AK · Clinic/Center Multi-Specialty

$5.5M
21194879023$4.7M
31720033343$3.8M
41578574828$3.1M
51821441221$1.7M
61255600763$1.3M
71659383644$1.3M
81255457297$1.3M
91508856923$1.2M
101053423947$1.2M
111740231323$1.2M
121588699318$1.1M
13Medical Associates Of Ebnhc

East Boston, MA · Clinic/Center, Community Health

$1.1M
141548256647$1.1M
151639339930$1.1M
161255827689$1.1M
171780954800$956K
181588731624$954K
191609112465$934K
201962762765$900K

Showing top 20 of 13K providers billing this code

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