92586
HCPCS Procedure Code
HCPCS code 92586 is the #1,111 most-billed Medicaid procedure code, with $40.3M in payments across 853K claims from 2018–2024. The national median cost per claim is $51.18. Costs vary widely — the 90th percentile is $108.03 per claim, 2.1× the median.
Total Paid
$40.3M
0.00% of all spending
Total Claims
853K
Providers
261
Avg Cost/Claim
$47
National Cost Distribution
How much do providers bill per claim for 92586? Based on 236 providers billing this code nationally.
Median
$51.18
Average
$62.92
Std Dev
$52.28
Max
$411.49
Percentile Distribution (Cost per Claim)
50% of providers bill between $37.20 and $71.16 per claim for this code.
90% bill between $21.60 and $108.03.
Top 1% bill above $313.30.
About This Procedure
HCPCS code 92586 was billed by 261 providers across 853K claims, totaling $40.3M in Medicaid payments from 2018–2024. This code was used for 755K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$51.18
Providers Billing
236
National Spending
$40.3M
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 92586
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1083711790 | $4.6M |
| 2 | 1407957152 | $4.2M |
| 3 | 1144327859 | $2.5M |
| 4 | 1912332198 | $2.3M |
| 5 | 1497852107 | $2.2M |
| 6 | Not Found Unknown, Unknown · Unknown | $2.2M |
| 7 | 1972695260 | $2.2M |
| 8 | 1992802607 | $1.8M |
| 9 | 1205928587 | $1.3M |
| 10 | 1629467980 | $1.1M |
| 11 | 1619951969 | $1.1M |
| 12 | 1235236944 | $1.1M |
| 13 | 1982661955 | $848K |
| 14 | 1093118499 | $811K |
| 15 | 1225085715 | $809K |
| 16 | 1881740835 | $729K |
| 17 | 1609976067 | $716K |
| 18 | 1205859691 | $621K |
| 19 | 1437235611 | $350K |
| 20 | 1780914085 | $349K |
Showing top 20 of 261 providers billing this code