#5369 of 11K

92597

HCPCS Procedure Code

HCPCS code 92597 is the #5,369 most-billed Medicaid procedure code, with $217K in payments across 3,666 claims from 2018–2024. The national median cost per claim is $31.61. Costs vary widely — the 90th percentile is $65.05 per claim, 2.1× the median.

Total Paid

$217K

0.00% of all spending

Total Claims

3,666

Providers

Avg Cost/Claim

$59

National Cost Distribution

How much do providers bill per claim for 92597? Based on 18 providers billing this code nationally.

Median

$31.61

Average

$50.52

Std Dev

$68.51

Max

$316.50

Percentile Distribution (Cost per Claim)

p10

$16.06

p25

$21.41

Median

$31.61

p75

$49.43

p90

$65.05

p95

$107.76

p99

$274.75

50% of providers bill between $21.41 and $49.43 per claim for this code.

90% bill between $16.06 and $65.05.

Top 1% bill above $274.75.

About This Procedure

HCPCS code 92597 was billed by 18 providers across 3,666 claims, totaling $217K in Medicaid payments from 2018–2024. This code was used for 3,044 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$31.61

Providers Billing

National Spending

$217K

Avg/Median Ratio

1.60×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 92597

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital	$116K	$62.53	2.0× median	Above 75th
2	Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital	$29K	$70.93	2.2× median	Top 10%
3	1962822353	$23K	$316.50	10.0× median	Top 1%
4	University Of Kentucky Lexington, KY · General Acute Care Hospital	$22K	$58.52	1.9× median	Above 75th
5	Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment	$9K	$26.61	0.8× median	Below Median
6	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$4K	$51.06	1.6× median	Above 75th
7	Medical University Hospital Authority Charleston, SC · General Acute Care Hospital	$4K	$34.07	1.1× median	Above Median
8	1467508374	$3K	$21.50	0.7× median	Below Median
9	1639101751	$1K	$44.55	1.4× median	Above Median
10	1679660617	$1K	$14.80	0.5× median	Below Median
11	1982943353	$959	$28.21	0.9× median	Below Median
12	1770655102	$855	$21.38	0.7× median	Below Median
13	1316071210	$740	$30.82	1.0× median	Below Median
14	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$611	$43.65	1.4× median	Above Median
15	1720281645	$551	$32.41	1.0× median	Above Median
16	1295752806	$335	$15.22	0.5× median	Below Median
17	1780748962	$283	$20.22	0.6× median	Below Median
18	1376678029	$214	$16.42	0.5× median	Below Median

Showing top 18 of 18 providers billing this code

Related Procedures

92587$121.0M 92588Vestibular evoked myogenic potential testing, each side$28.0M 92607$5.2M 92606$2.6M 92593$2.2M

← All procedures Top providers →