92540
HCPCS Procedure Code
HCPCS code 92540 is the #2,349 most-billed Medicaid procedure code, with $6.5M in payments across 121K claims from 2018–2024. The national median cost per claim is $59.84.
Total Paid
$6.5M
0.00% of all spending
Total Claims
121K
Providers
268
Avg Cost/Claim
$54
National Cost Distribution
How much do providers bill per claim for 92540? Based on 258 providers billing this code nationally.
Median
$59.84
Average
$57.74
Std Dev
$43.20
Max
$514.98
Percentile Distribution (Cost per Claim)
50% of providers bill between $34.60 and $76.78 per claim for this code.
90% bill between $17.29 and $86.71.
Top 1% bill above $149.63.
About This Procedure
HCPCS code 92540 was billed by 268 providers across 121K claims, totaling $6.5M in Medicaid payments from 2018–2024. This code was used for 117K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$59.84
Providers Billing
258
National Spending
$6.5M
Avg/Median Ratio
0.96×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 92540
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1659849040 | $830K |
| 2 | 1275916652 | $748K |
| 3 | 1033548581 | $267K |
| 4 | 1275647851 | $232K |
| 5 | 1164594149 | $222K |
| 6 | 1609861244 | $195K |
| 7 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $172K |
| 8 | 1174606438 | $142K |
| 9 | 1457731242 | $135K |
| 10 | 1013334234 | $122K |
| 11 | 1598941577 | $121K |
| 12 | 1013259084 | $110K |
| 13 | 1831517002 | $107K |
| 14 | 1669407185 | $103K |
| 15 | 1043497571 | $101K |
| 16 | 1174537948 | $96K |
| 17 | 1184766107 | $90K |
| 18 | 1982982336 | $90K |
| 19 | 1699059451 | $90K |
| 20 | 1912037102 | $87K |
Showing top 20 of 268 providers billing this code