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#3053 of 11K

92606

HCPCS Procedure Code

HCPCS code 92606 is the #3,053 most-billed Medicaid procedure code, with $2.6M in payments across 57K claims from 2018–2024. The national median cost per claim is $36.52.

Total Paid

$2.6M

0.00% of all spending

Total Claims

57K

Providers

28

Avg Cost/Claim

$47

National Cost Distribution

How much do providers bill per claim for 92606? Based on 23 providers billing this code nationally.

Median

$36.52

Average

$39.74

Std Dev

$16.44

Max

$62.78

Percentile Distribution (Cost per Claim)

p10
$18.66
p25
$31.97
Median
$36.52
p75
$53.69
p90
$58.59
p95
$60.96
p99
$62.43

50% of providers bill between $31.97 and $53.69 per claim for this code.

90% bill between $18.66 and $58.59.

Top 1% bill above $62.43.

About This Procedure

HCPCS code 92606 was billed by 28 providers across 57K claims, totaling $2.6M in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$36.52

Providers Billing

23

National Spending

$2.6M

Avg/Median Ratio

1.09×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92606

#ProviderTotal Paid
11346867579$908K
21912491432$391K
31477537207$286K
41346739562$165K
51265977714$154K
61912215039$135K
71376298703$107K
81306284518$83K
91245482009$79K
101134152861$65K
111598130965$57K
121285880914$49K
131114315801$38K
141477097657$37K
151285123620$29K
161649513284$17K
171669504080$13K
181639223373$11K
191063117265$8K
201487614889$6K

Showing top 20 of 28 providers billing this code