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#1986 of 11K

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)

p10
$4.63
p25
$9.22
Median
$14.17
p75
$21.03
p90
$39.60
p95
$59.42
p99
$135.79

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

#ProviderTotal Paid
1Seattle Children's Hospital

Seattle, WA · Prosthetic/Orthotic Supplier

$849K
2Children's Hospital Corporation

Boston, MA · Clinic/Center

$833K
3Children's Hospital Medical Center Of Akron

Akron, OH · General Acute Care Hospital Children

$432K
4Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$389K
5Hmh Hospitals Corporation

Hackensack, NJ · Ambulance

$269K
6Alaska Native Tribal Health Consortium

Anchorage, AK · General Acute Care Hospital

$265K
7Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$239K
81225133473$238K
9Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$238K
10Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$196K
11Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$188K
12Children's Health System Of Texas

Dallas, TX · General Acute Care Hospital Children

$185K
13Johns Hopkins All Children's Hospital Inc

St Petersburg, FL · General Acute Care Hospital Children

$172K
141306952726$169K
151508935891$166K
16Childrens Hospital Of Philadelphia

Philadelphia, PA · General Acute Care Hospital Children

$164K
171992727663$154K
181114958584$137K
191205935012$134K
201063454346$126K

Showing top 20 of 601 providers billing this code