92556
HCPCS Procedure Code
HCPCS code 92556 is the #3,004 most-billed Medicaid procedure code, with $2.8M in payments across 109K claims from 2018–2024. The national median cost per claim is $24.07. Costs vary widely — the 90th percentile is $52.77 per claim, 2.2× the median.
Total Paid
$2.8M
0.00% of all spending
Total Claims
109K
Providers
281
Avg Cost/Claim
$26
National Cost Distribution
How much do providers bill per claim for 92556? Based on 266 providers billing this code nationally.
Median
$24.07
Average
$28.79
Std Dev
$29.92
Max
$379.11
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.77 and $35.22 per claim for this code.
90% bill between $5.04 and $52.77.
Top 1% bill above $107.01.
About This Procedure
HCPCS code 92556 was billed by 281 providers across 109K claims, totaling $2.8M in Medicaid payments from 2018–2024. This code was used for 102K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$24.07
Providers Billing
266
National Spending
$2.8M
Avg/Median Ratio
1.20×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 92556
| # | Provider | Total Paid |
|---|---|---|
| 1 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $201K |
| 2 | Children's Hospital Corporation Boston, MA · Clinic/Center | $183K |
| 3 | 1205851011 | $183K |
| 4 | 1992727663 | $141K |
| 5 | University Of Rochester Rochester, NY · General Acute Care Hospital | $83K |
| 6 | The Nemours Foundation Wilmington, DE · General Acute Care Hospital Children | $79K |
| 7 | District Medical Group, Inc Phoenix, AZ · Anesthesiology | $79K |
| 8 | 1124075460 | $78K |
| 9 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $77K |
| 10 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $76K |
| 11 | Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children | $69K |
| 12 | 1972523348 | $60K |
| 13 | 1437720414 | $59K |
| 14 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $57K |
| 15 | 1255352266 | $53K |
| 16 | 1467442749 | $49K |
| 17 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $44K |
| 18 | 1104912674 | $41K |
| 19 | 1184123150 | $41K |
| 20 | 1043263080 | $35K |
Showing top 20 of 281 providers billing this code