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#3626 of 11K

92626

Evaluation of auditory rehabilitation status, first hour

Evaluation of auditory rehabilitation status, first hour is the #3,626 most-billed Medicaid procedure code, with $1.4M in payments across 27K claims from 2018–2024. The national median cost per claim is $49.81. Costs vary widely — the 90th percentile is $105.92 per claim, 2.1× the median.

Total Paid

$1.4M

0.00% of all spending

Total Claims

27K

Providers

63

Avg Cost/Claim

$53

National Cost Distribution

How much do providers bill per claim for 92626? Based on 61 providers billing this code nationally.

Median

$49.81

Average

$57.48

Std Dev

$46.25

Max

$261.75

Percentile Distribution (Cost per Claim)

p10
$15.17
p25
$26.39
Median
$49.81
p75
$72.15
p90
$105.92
p95
$126.80
p99
$231.40

50% of providers bill between $26.39 and $72.15 per claim for this code.

90% bill between $15.17 and $105.92.

Top 1% bill above $231.40.

About This Procedure

HCPCS code 92626 (Evaluation of auditory rehabilitation status, first hour) was billed by 63 providers across 27K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 24K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$49.81

Providers Billing

61

National Spending

$1.4M

Avg/Median Ratio

1.15×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92626

#ProviderTotal Paid
11235463498$451K
2University Hospital

Newark, NJ · General Acute Care Hospital

$186K
31679660617$77K
4Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$74K
51639394117$70K
6Children's Health System Of Texas

Dallas, TX · General Acute Care Hospital Children

$66K
7Vhs Childrens Hospital Of Michigan Inc

Detroit, MI · Clinic/Center, Ambulatory Surgical

$50K
81780669200$46K
91245251222$44K
10University Hospitals Cleveland Medical Center

Cleveland, OH · General Acute Care Hospital

$43K
111497985253$35K
12Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$34K
13Children's Hospital

Washington, DC · General Acute Care Hospital Children

$34K
141972502276$31K
151831231943$27K
161508848532$12K
171265977714$12K
18Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$11K
19The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$10K
201699874248$8K

Showing top 20 of 63 providers billing this code