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#4837 of 11K

92620

HCPCS Procedure Code

HCPCS code 92620 is the #4,837 most-billed Medicaid procedure code, with $381K in payments across 4,868 claims from 2018–2024. The national median cost per claim is $42.04. Costs vary widely — the 90th percentile is $131.31 per claim, 3.1× the median.

Total Paid

$381K

0.00% of all spending

Total Claims

4,868

Providers

17

Avg Cost/Claim

$78

National Cost Distribution

How much do providers bill per claim for 92620? Based on 16 providers billing this code nationally.

Median

$42.04

Average

$62.87

Std Dev

$75.24

Max

$291.47

Percentile Distribution (Cost per Claim)

p10
$9.69
p25
$15.14
Median
$42.04
p75
$71.42
p90
$131.31
p95
$212.23
p99
$275.63

50% of providers bill between $15.14 and $71.42 per claim for this code.

90% bill between $9.69 and $131.31.

Top 1% bill above $275.63.

About This Procedure

HCPCS code 92620 was billed by 17 providers across 4,868 claims, totaling $381K in Medicaid payments from 2018–2024. This code was used for 4,543 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$42.04

Providers Billing

16

National Spending

$381K

Avg/Median Ratio

1.50×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92620

#ProviderTotal Paid
1Children's Specialized Hospital

New Brunswick, NJ · Pediatrics

$227K
2Johns Hopkins All Children's Hospital Inc

St Petersburg, FL · General Acute Care Hospital Children

$68K
31811177215$46K
41548558810$14K
51376665349$12K
61215006150$3K
71679861546$3K
81902940521$2K
91548483795$1K
101134459795$988
111891745758$888
121730370974$777
131265560288$526
141144385998$350
151982704086$218
161285774315$106
171982984662$0

Showing top 17 of 17 providers billing this code