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#5473 of 11K

92544

HCPCS Procedure Code

HCPCS code 92544 is the #5,473 most-billed Medicaid procedure code, with $191K in payments across 6,577 claims from 2018–2024. The national median cost per claim is $12.80. Costs vary widely — the 90th percentile is $33.16 per claim, 2.6× the median.

Total Paid

$191K

0.00% of all spending

Total Claims

6,577

Providers

16

Avg Cost/Claim

$29

National Cost Distribution

How much do providers bill per claim for 92544? Based on 15 providers billing this code nationally.

Median

$12.80

Average

$44.33

Std Dev

$116.83

Max

$465.24

Percentile Distribution (Cost per Claim)

p10
$3.99
p25
$7.67
Median
$12.80
p75
$20.18
p90
$33.16
p95
$163.19
p99
$404.83

50% of providers bill between $7.67 and $20.18 per claim for this code.

90% bill between $3.99 and $33.16.

Top 1% bill above $404.83.

About This Procedure

HCPCS code 92544 was billed by 16 providers across 6,577 claims, totaling $191K in Medicaid payments from 2018–2024. This code was used for 4,681 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.80

Providers Billing

15

National Spending

$191K

Avg/Median Ratio

3.46×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 92544

#ProviderTotal Paid
11245350958$91K
21558539759$29K
31053629477$26K
41013174929$13K
51558356741$12K
61144385998$11K
71780713255$3K
81760456933$2K
91043497571$823
101093751919$540
111639804628$288
121124003488$205
131114232311$174
141902089402$60
151003076886$38
161063423416$0

Showing top 16 of 16 providers billing this code