#2974 of 11K

92700

HCPCS Procedure Code

HCPCS code 92700 is the #2,974 most-billed Medicaid procedure code, with $2.9M in payments across 193K claims from 2018–2024. The national median cost per claim is $20.35. Costs vary widely — the 90th percentile is $106.94 per claim, 5.3× the median.

Total Paid

$2.9M

0.00% of all spending

Total Claims

193K

Providers

Avg Cost/Claim

$15

National Cost Distribution

How much do providers bill per claim for 92700? Based on 51 providers billing this code nationally.

Median

$20.35

Average

$36.29

Std Dev

$41.50

Max

$159.10

Percentile Distribution (Cost per Claim)

p10

$4.37

p25

$8.34

Median

$20.35

p75

$44.76

p90

$106.94

p95

$123.44

p99

$155.67

50% of providers bill between $8.34 and $44.76 per claim for this code.

90% bill between $4.37 and $106.94.

Top 1% bill above $155.67.

About This Procedure

HCPCS code 92700 was billed by 58 providers across 193K claims, totaling $2.9M in Medicaid payments from 2018–2024. This code was used for 66K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$20.35

Providers Billing

National Spending

$2.9M

Avg/Median Ratio

1.78×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 92700

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1891238739	$799K	$19.25	0.9× median	Below Median
2	1679524391	$643K	$17.39	0.9× median	Below Median
3	1003301581	$341K	$20.55	1.0× median	Above Median
4	1770948283	$196K	$2.60	0.1× median	Below Median
5	1710065933	$166K	$74.12	3.6× median	Above 75th
6	1700949336	$165K	$60.27	3.0× median	Above 75th
7	1144385998	$113K	$135.57	6.7× median	Top 10%
8	Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital	$90K	$53.73	2.6× median	Above 75th
9	1306238563	$71K	$28.15	1.4× median	Above Median
10	West Coast Spine Restoration Center Inc Riverside, CA · Physical Therapist	$60K	$103.95	5.1× median	Above 75th
11	1639278369	$29K	$152.23	7.5× median	Top 10%
12	Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology	$23K	$111.30	5.5× median	Top 10%
13	1497985253	$22K	$41.79	2.1× median	Above Median
14	1790438513	$21K	$12.15	0.6× median	Below Median
15	1013174929	$20K	$39.27	1.9× median	Above Median
16	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$15K	$47.73	2.3× median	Above 75th
17	Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital	$11K	$159.10	7.8× median	Top 1%
18	1952312043	$11K	$9.12	0.4× median	Below Median
19	1942748553	$10K	$17.32	0.9× median	Below Median
20	Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator	$8K	$32.52	1.6× median	Above Median

Showing top 20 of 58 providers billing this code

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