92611
HCPCS Procedure Code
HCPCS code 92611 is the #1,858 most-billed Medicaid procedure code, with $12.6M in payments across 117K claims from 2018–2024. The national median cost per claim is $47.58. Costs vary widely — the 90th percentile is $142.46 per claim, 3.0× the median.
Total Paid
$12.6M
0.00% of all spending
Total Claims
117K
Providers
236
Avg Cost/Claim
$108
National Cost Distribution
How much do providers bill per claim for 92611? Based on 217 providers billing this code nationally.
Median
$47.58
Average
$70.52
Std Dev
$78.38
Max
$476.96
Percentile Distribution (Cost per Claim)
50% of providers bill between $24.78 and $81.01 per claim for this code.
90% bill between $8.96 and $142.46.
Top 1% bill above $418.04.
About This Procedure
HCPCS code 92611 was billed by 236 providers across 117K claims, totaling $12.6M in Medicaid payments from 2018–2024. This code was used for 109K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$47.58
Providers Billing
217
National Spending
$12.6M
Avg/Median Ratio
1.48×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 92611
| # | Provider | Total Paid |
|---|---|---|
| 1 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $2.2M |
| 2 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $1.6M |
| 3 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $1.6M |
| 4 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $472K |
| 5 | Children's Hospital Corporation Boston, MA · Clinic/Center | $420K |
| 6 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $404K |
| 7 | 1689744450 | $400K |
| 8 | Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children | $345K |
| 9 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $258K |
| 10 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $250K |
| 11 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $212K |
| 12 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $180K |
| 13 | Tucson Medical Center Tucson, AZ · Clinic/Center, Hearing and Speech | $171K |
| 14 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $167K |
| 15 | University Of Rochester Rochester, NY · General Acute Care Hospital | $151K |
| 16 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $149K |
| 17 | Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital | $146K |
| 18 | Banner Desert Medical Center Mesa, AZ · General Acute Care Hospital | $145K |
| 19 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $140K |
| 20 | 1346297843 | $136K |
Showing top 20 of 236 providers billing this code