#3339 of 11K

92928

HCPCS Procedure Code

HCPCS code 92928 is the #3,339 most-billed Medicaid procedure code, with $1.9M in payments across 5,488 claims from 2018–2024. The national median cost per claim is $224.97. Costs vary widely — the 90th percentile is $513.52 per claim, 2.3× the median.

Total Paid

$1.9M

0.00% of all spending

Total Claims

5,488

Providers

Avg Cost/Claim

$345

National Cost Distribution

How much do providers bill per claim for 92928? Based on 44 providers billing this code nationally.

Median

$224.97

Average

$347.82

Std Dev

$538.95

Max

$3,613.95

Percentile Distribution (Cost per Claim)

p10

$118.10

p25

$148.51

Median

$224.97

p75

$323.04

p90

$513.52

p95

$729.80

p99

$2,508.03

50% of providers bill between $148.51 and $323.04 per claim for this code.

90% bill between $118.10 and $513.52.

Top 1% bill above $2,508.03.

About This Procedure

HCPCS code 92928 was billed by 45 providers across 5,488 claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 4,147 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$224.97

Providers Billing

National Spending

$1.9M

Avg/Median Ratio

1.55×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 92928

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1760446207	$539K	$737.19	3.3× median	Top 10%
2	1285800342	$392K	$340.12	1.5× median	Above 75th
3	1891100855	$169K	$1,042.03	4.6× median	Top 10%
4	1811371321	$100K	$206.87	0.9× median	Below Median
5	1457467227	$93K	$146.36	0.7× median	Below Median
6	1487912416	$72K	$507.69	2.3× median	Above 75th
7	Southern Ohio Medical Center Portsmouth, OH · Clinical Medical Laboratory	$58K	$3,613.95	16.1× median	Top 1%
8	1639172372	$49K	$261.52	1.2× median	Above Median
9	1720009954	$41K	$286.42	1.3× median	Above Median
10	1013976430	$41K	$516.02	2.3× median	Top 10%
11	1023291226	$36K	$134.23	0.6× median	Below Median
12	1730195108	$33K	$191.80	0.9× median	Below Median
13	1154556025	$31K	$198.59	0.9× median	Below Median
14	1124248752	$27K	$342.53	1.5× median	Above 75th
15	1821398322	$24K	$302.92	1.3× median	Above Median
16	1982787487	$21K	$246.80	1.1× median	Above Median
17	West Virginia University Medical Corporation Morgantown, WV · Anesthesiology	$16K	$323.24	1.4× median	Above 75th
18	1811214489	$14K	$295.97	1.3× median	Above Median
19	1295023547	$13K	$255.91	1.1× median	Above Median
20	1952343212	$13K	$190.10	0.8× median	Below Median

Showing top 20 of 45 providers billing this code

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