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#2389 of 11K

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)

p10
$20.63
p25
$42.19
Median
$77.69
p75
$131.45
p90
$260.49
p95
$353.16
p99
$704.82

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

#ProviderTotal Paid
1Hmh Hospitals Corporation

Hackensack, NJ · Ambulance

$662K
2Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$636K
3Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$303K
4Seattle Children's Hospital

Seattle, WA · Prosthetic/Orthotic Supplier

$223K
5Children's Hospital Corporation

Boston, MA · Clinic/Center

$213K
6Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$212K
7Connecticut Children's Medical Center

Hartford, CT · General Acute Care Hospital, Children

$202K
8State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$201K
91952402612$157K
10Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$152K
11Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$143K
12Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$127K
131093733594$127K
141306885496$122K
151215956206$114K
16Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$114K
171306952726$102K
181720151145$89K
191134643810$88K
20University Hospitals Cleveland Medical Center

Cleveland, OH · General Acute Care Hospital

$85K

Showing top 20 of 203 providers billing this code