92585
HCPCS Procedure Code
HCPCS code 92585 is the #2,389 most-billed Medicaid procedure code, with $6.2M in payments across 48K claims from 2018–2024. The national median cost per claim is $77.69. Costs vary widely — the 90th percentile is $260.49 per claim, 3.4× the median.
Total Paid
$6.2M
0.00% of all spending
Total Claims
48K
Providers
203
Avg Cost/Claim
$129
National Cost Distribution
How much do providers bill per claim for 92585? Based on 192 providers billing this code nationally.
Median
$77.69
Average
$123.89
Std Dev
$154.64
Max
$1,241.60
Percentile Distribution (Cost per Claim)
50% of providers bill between $42.19 and $131.45 per claim for this code.
90% bill between $20.63 and $260.49.
Top 1% bill above $704.82.
About This Procedure
HCPCS code 92585 was billed by 203 providers across 48K claims, totaling $6.2M in Medicaid payments from 2018–2024. This code was used for 44K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$77.69
Providers Billing
192
National Spending
$6.2M
Avg/Median Ratio
1.59×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 92585
| # | Provider | Total Paid |
|---|---|---|
| 1 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $662K |
| 2 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $636K |
| 3 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $303K |
| 4 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $223K |
| 5 | Children's Hospital Corporation Boston, MA · Clinic/Center | $213K |
| 6 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $212K |
| 7 | Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children | $202K |
| 8 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $201K |
| 9 | 1952402612 | $157K |
| 10 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $152K |
| 11 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $143K |
| 12 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $127K |
| 13 | 1093733594 | $127K |
| 14 | 1306885496 | $122K |
| 15 | 1215956206 | $114K |
| 16 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $114K |
| 17 | 1306952726 | $102K |
| 18 | 1720151145 | $89K |
| 19 | 1134643810 | $88K |
| 20 | University Hospitals Cleveland Medical Center Cleveland, OH · General Acute Care Hospital | $85K |
Showing top 20 of 203 providers billing this code