92555
HCPCS Procedure Code
HCPCS code 92555 is the #1,986 most-billed Medicaid procedure code, with $10.5M in payments across 430K claims from 2018–2024. The national median cost per claim is $14.17. Costs vary widely — the 90th percentile is $39.60 per claim, 2.8× the median.
Total Paid
$10.5M
0.00% of all spending
Total Claims
430K
Providers
601
Avg Cost/Claim
$24
National Cost Distribution
How much do providers bill per claim for 92555? Based on 578 providers billing this code nationally.
Median
$14.17
Average
$20.72
Std Dev
$29.46
Max
$348.19
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.22 and $21.03 per claim for this code.
90% bill between $4.63 and $39.60.
Top 1% bill above $135.79.
About This Procedure
HCPCS code 92555 was billed by 601 providers across 430K claims, totaling $10.5M in Medicaid payments from 2018–2024. This code was used for 406K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$14.17
Providers Billing
578
National Spending
$10.5M
Avg/Median Ratio
1.46×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 92555
| # | Provider | Total Paid |
|---|---|---|
| 1 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $849K |
| 2 | Children's Hospital Corporation Boston, MA · Clinic/Center | $833K |
| 3 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $432K |
| 4 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $389K |
| 5 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $269K |
| 6 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $265K |
| 7 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $239K |
| 8 | 1225133473 | $238K |
| 9 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $238K |
| 10 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $196K |
| 11 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $188K |
| 12 | Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children | $185K |
| 13 | Johns Hopkins All Children's Hospital Inc St Petersburg, FL · General Acute Care Hospital Children | $172K |
| 14 | 1306952726 | $169K |
| 15 | 1508935891 | $166K |
| 16 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $164K |
| 17 | 1992727663 | $154K |
| 18 | 1114958584 | $137K |
| 19 | 1205935012 | $134K |
| 20 | 1063454346 | $126K |
Showing top 20 of 601 providers billing this code