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#1759 of 11K

92370

HCPCS Procedure Code

HCPCS code 92370 is the #1,759 most-billed Medicaid procedure code, with $14.5M in payments across 1.7M claims from 2018–2024. The national median cost per claim is $7.23. Costs vary widely — the 90th percentile is $28.35 per claim, 3.9× the median.

Total Paid

$14.5M

0.00% of all spending

Total Claims

1.7M

Providers

1,263

Avg Cost/Claim

$9

National Cost Distribution

How much do providers bill per claim for 92370? Based on 1,235 providers billing this code nationally.

Median

$7.23

Average

$12.84

Std Dev

$9.21

Max

$50.75

Percentile Distribution (Cost per Claim)

p10
$5.31
p25
$6.32
Median
$7.23
p75
$18.36
p90
$28.35
p95
$30.70
p99
$34.51

50% of providers bill between $6.32 and $18.36 per claim for this code.

90% bill between $5.31 and $28.35.

Top 1% bill above $34.51.

About This Procedure

HCPCS code 92370 was billed by 1,263 providers across 1.7M claims, totaling $14.5M in Medicaid payments from 2018–2024. This code was used for 1.5M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.23

Providers Billing

1,235

National Spending

$14.5M

Avg/Median Ratio

1.78×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 92370

#ProviderTotal Paid
11053423947$275K
21124189089$273K
31629297171$240K
41912958919$202K
51295799823$202K
61023537008$190K
71528497732$165K
81235192113$149K
91356529960$147K
101114948304$137K
111538266804$123K
121598700114$122K
13Lynn Community Health, Inc.

Lynn, MA · Clinic/Center, Community Health

$117K
141356789440$116K
151245211333$113K
161659383644$111K
171457432577$110K
181417945775$105K
191538147061$103K
201013231943$100K

Showing top 20 of 1,263 providers billing this code

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