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#5573 of 11K

92621

HCPCS Procedure Code

HCPCS code 92621 is the #5,573 most-billed Medicaid procedure code, with $174K in payments across 1,703 claims from 2018–2024. The national median cost per claim is $6.22. Costs vary widely — the 90th percentile is $71.39 per claim, 11.5× the median.

Total Paid

$174K

0.00% of all spending

Total Claims

1,703

Providers

7

Avg Cost/Claim

$102

National Cost Distribution

How much do providers bill per claim for 92621? Based on 7 providers billing this code nationally.

Median

$6.22

Average

$28.41

Std Dev

$50.63

Max

$141.67

Percentile Distribution (Cost per Claim)

p10
$2.99
p25
$4.97
Median
$6.22
p75
$20.44
p90
$71.39
p95
$106.53
p99
$134.64

50% of providers bill between $4.97 and $20.44 per claim for this code.

90% bill between $2.99 and $71.39.

Top 1% bill above $134.64.

About This Procedure

HCPCS code 92621 was billed by 7 providers across 1,703 claims, totaling $174K in Medicaid payments from 2018–2024. This code was used for 1,575 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.22

Providers Billing

7

National Spending

$174K

Avg/Median Ratio

4.57×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 92621

#ProviderTotal Paid
1Children's Specialized Hospital

New Brunswick, NJ · Pediatrics

$171K
2Johns Hopkins All Children's Hospital Inc

St Petersburg, FL · General Acute Care Hospital Children

$1K
31679861546$1K
41164428488$596
51730370974$196
61376893420$131
71144385998$14

Showing top 7 of 7 providers billing this code