#2867 of 11K

92651

HCPCS Procedure Code

HCPCS code 92651 is the #2,867 most-billed Medicaid procedure code, with $3.3M in payments across 56K claims from 2018–2024. The national median cost per claim is $67.01. Costs vary widely — the 90th percentile is $134.32 per claim, 2.0× the median.

Total Paid

$3.3M

0.00% of all spending

Total Claims

56K

Providers

Avg Cost/Claim

$59

National Cost Distribution

How much do providers bill per claim for 92651? Based on 42 providers billing this code nationally.

Median

$67.01

Average

$86.57

Std Dev

$86.69

Max

$546.61

Percentile Distribution (Cost per Claim)

p10

$32.61

p25

$54.79

Median

$67.01

p75

$93.95

p90

$134.32

p95

$204.54

p99

$410.05

50% of providers bill between $54.79 and $93.95 per claim for this code.

90% bill between $32.61 and $134.32.

Top 1% bill above $410.05.

About This Procedure

HCPCS code 92651 was billed by 43 providers across 56K claims, totaling $3.3M in Medicaid payments from 2018–2024. This code was used for 51K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$67.01

Providers Billing

National Spending

$3.3M

Avg/Median Ratio

1.29×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92651

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1326296591	$1.4M	$56.86	0.8× median	Below Median
2	1144354895	$454K	$62.23	0.9× median	Below Median
3	1235420696	$377K	$35.97	0.5× median	Below Median
4	1174533095	$184K	$59.16	0.9× median	Below Median
5	Johns Hopkins All Children's Hospital Inc St Petersburg, FL · General Acute Care Hospital Children	$140K	$135.00	2.0× median	Top 10%
6	Henry Ford Health System Detroit, MI · General Acute Care Hospital	$102K	$100.19	1.5× median	Above 75th
7	1265874713	$93K	$66.05	1.0× median	Below Median
8	1508906884	$85K	$64.45	1.0× median	Below Median
9	1578527172	$75K	$77.33	1.2× median	Above Median
10	St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital	$53K	$75.30	1.1× median	Above Median
11	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$48K	$117.18	1.7× median	Above 75th
12	1669560231	$42K	$97.78	1.5× median	Above 75th
13	1609945823	$30K	$65.96	1.0× median	Below Median
14	1366534760	$28K	$72.10	1.1× median	Above Median
15	Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children	$23K	$204.90	3.1× median	Top 10%
16	1386731073	$19K	$71.17	1.1× median	Above Median
17	Medical University Hospital Authority Charleston, SC · General Acute Care Hospital	$18K	$104.25	1.6× median	Above 75th
18	Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children	$18K	$197.63	2.9× median	Top 10%
19	Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children	$17K	$546.61	8.2× median	Top 1%
20	District Medical Group, Inc Phoenix, AZ · Anesthesiology	$15K	$91.27	1.4× median	Above Median

Showing top 20 of 43 providers billing this code

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