92553
HCPCS Procedure Code
HCPCS code 92553 is the #2,473 most-billed Medicaid procedure code, with $5.5M in payments across 201K claims from 2018–2024. The national median cost per claim is $20.30. Costs vary widely — the 90th percentile is $72.84 per claim, 3.6× the median.
Total Paid
$5.5M
0.00% of all spending
Total Claims
201K
Providers
419
Avg Cost/Claim
$27
National Cost Distribution
How much do providers bill per claim for 92553? Based on 387 providers billing this code nationally.
Median
$20.30
Average
$47.66
Std Dev
$116.23
Max
$846.28
Percentile Distribution (Cost per Claim)
50% of providers bill between $12.67 and $32.72 per claim for this code.
90% bill between $4.67 and $72.84.
Top 1% bill above $677.25.
About This Procedure
HCPCS code 92553 was billed by 419 providers across 201K claims, totaling $5.5M in Medicaid payments from 2018–2024. This code was used for 189K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$20.30
Providers Billing
387
National Spending
$5.5M
Avg/Median Ratio
2.35×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 92553
| # | Provider | Total Paid |
|---|---|---|
| 1 | Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children | $408K |
| 2 | Yukon-kuskokwim Health Corporation Bethel, AK · General Acute Care Hospital Rural | $293K |
| 3 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $266K |
| 4 | 1124079769 | $188K |
| 5 | Children's Hospital Corporation Boston, MA · Clinic/Center | $182K |
| 6 | 1528003365 | $138K |
| 7 | 1053563304 | $137K |
| 8 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $134K |
| 9 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $120K |
| 10 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $114K |
| 11 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $92K |
| 12 | 1790833291 | $83K |
| 13 | 1740488519 | $82K |
| 14 | 1699874248 | $82K |
| 15 | 1548430945 | $76K |
| 16 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $75K |
| 17 | 1306952726 | $71K |
| 18 | 1144680422 | $69K |
| 19 | 1487755815 | $69K |
| 20 | 1124545074 | $66K |
Showing top 20 of 419 providers billing this code