92567
HCPCS Procedure Code
HCPCS code 92567 is the #711 most-billed Medicaid procedure code, with $100.3M in payments across 6.1M claims from 2018–2024. The national median cost per claim is $11.50.
Total Paid
$100.3M
0.01% of all spending
Total Claims
6.1M
Providers
4K
Avg Cost/Claim
$16
National Cost Distribution
How much do providers bill per claim for 92567? Based on 4K providers billing this code nationally.
Median
$11.50
Average
$13.89
Std Dev
$15.09
Max
$299.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.71 and $13.99 per claim for this code.
90% bill between $5.25 and $20.00.
Top 1% bill above $83.31.
About This Procedure
HCPCS code 92567 was billed by 4K providers across 6.1M claims, totaling $100.3M in Medicaid payments from 2018–2024. This code was used for 5.7M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.50
Providers Billing
4K
National Spending
$100.3M
Avg/Median Ratio
1.21×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 92567
| # | Provider | Total Paid |
|---|---|---|
| 1 | Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children | $2.2M |
| 2 | Texas Children's Hospital Houston, TX · General Acute Care Hospital Children | $2.0M |
| 3 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $2.0M |
| 4 | Children's Hospital Corporation Boston, MA · Clinic/Center | $1.8M |
| 5 | 1376598326 | $1.6M |
| 6 | 1992727663 | $1.5M |
| 7 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $1.1M |
| 8 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $1.1M |
| 9 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $1.0M |
| 10 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $958K |
| 11 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $922K |
| 12 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $921K |
| 13 | 1700949336 | $767K |
| 14 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $724K |
| 15 | Suny Health Science Center At Syracuse Syracuse, NY · General Acute Care Hospital | $689K |
| 16 | 1386709871 | $676K |
| 17 | 1255352266 | $665K |
| 18 | 1639101751 | $653K |
| 19 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $586K |
| 20 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $576K |
Showing top 20 of 4K providers billing this code