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#5422 of 11K

92541

HCPCS Procedure Code

HCPCS code 92541 is the #5,422 most-billed Medicaid procedure code, with $203K in payments across 10K claims from 2018–2024. The national median cost per claim is $15.99. Costs vary widely — the 90th percentile is $46.90 per claim, 2.9× the median.

Total Paid

$203K

0.00% of all spending

Total Claims

10K

Providers

34

Avg Cost/Claim

$20

National Cost Distribution

How much do providers bill per claim for 92541? Based on 30 providers billing this code nationally.

Median

$15.99

Average

$21.39

Std Dev

$17.42

Max

$68.45

Percentile Distribution (Cost per Claim)

p10
$6.87
p25
$8.48
Median
$15.99
p75
$28.10
p90
$46.90
p95
$57.13
p99
$66.18

50% of providers bill between $8.48 and $28.10 per claim for this code.

90% bill between $6.87 and $46.90.

Top 1% bill above $66.18.

About This Procedure

HCPCS code 92541 was billed by 34 providers across 10K claims, totaling $203K in Medicaid payments from 2018–2024. This code was used for 7,791 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$15.99

Providers Billing

30

National Spending

$203K

Avg/Median Ratio

1.34×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92541

#ProviderTotal Paid
11568455525$33K
21053629477$32K
3The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$22K
41558356741$21K
51144385998$16K
61841484235$14K
71245350958$13K
8Children's Hospital Medical Center Of Akron

Akron, OH · General Acute Care Hospital Children

$13K
91013174929$12K
101225426331$7K
111780713255$5K
121760456933$3K
131043544489$2K
141619039815$2K
151841328853$1K
161043497571$1K
171417251919$924
181013047042$734
191093751919$656
201235365354$561

Showing top 20 of 34 providers billing this code