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#5036 of 11K

92547

HCPCS Procedure Code

HCPCS code 92547 is the #5,036 most-billed Medicaid procedure code, with $312K in payments across 61K claims from 2018–2024. The national median cost per claim is $3.63. Costs vary widely — the 90th percentile is $8.11 per claim, 2.2× the median.

Total Paid

$312K

0.00% of all spending

Total Claims

61K

Providers

160

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for 92547? Based on 145 providers billing this code nationally.

Median

$3.63

Average

$4.84

Std Dev

$6.29

Max

$50.78

Percentile Distribution (Cost per Claim)

p10
$0.72
p25
$1.97
Median
$3.63
p75
$5.61
p90
$8.11
p95
$11.43
p99
$38.09

50% of providers bill between $1.97 and $5.61 per claim for this code.

90% bill between $0.72 and $8.11.

Top 1% bill above $38.09.

About This Procedure

HCPCS code 92547 was billed by 160 providers across 61K claims, totaling $312K in Medicaid payments from 2018–2024. This code was used for 57K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.63

Providers Billing

145

National Spending

$312K

Avg/Median Ratio

1.33×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92547

#ProviderTotal Paid
11659849040$103K
21144399098$24K
31033548581$23K
41609861244$14K
51457731242$13K
61073946588$10K
71982982336$9K
81043497571$9K
91669407185$7K
101740324508$7K
111013259084$7K
121699059451$6K
131841484235$6K
141295771137$4K
151629126974$4K
161053629477$4K
171134668981$3K
181184049835$3K
191851396865$3K
201164663027$3K

Showing top 20 of 160 providers billing this code