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#3004 of 11K

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)

p10
$5.04
p25
$13.77
Median
$24.07
p75
$35.22
p90
$52.77
p95
$66.71
p99
$107.01

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

#ProviderTotal Paid
1Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$201K
2Children's Hospital Corporation

Boston, MA · Clinic/Center

$183K
31205851011$183K
41992727663$141K
5University Of Rochester

Rochester, NY · General Acute Care Hospital

$83K
6The Nemours Foundation

Wilmington, DE · General Acute Care Hospital Children

$79K
7District Medical Group, Inc

Phoenix, AZ · Anesthesiology

$79K
81124075460$78K
9Children's Hospital Medical Center Of Akron

Akron, OH · General Acute Care Hospital Children

$77K
10Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$76K
11Children's Health System Of Texas

Dallas, TX · General Acute Care Hospital Children

$69K
121972523348$60K
131437720414$59K
14Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$57K
151255352266$53K
161467442749$49K
17Seattle Children's Hospital

Seattle, WA · Prosthetic/Orthotic Supplier

$44K
181104912674$41K
191184123150$41K
201043263080$35K

Showing top 20 of 281 providers billing this code