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#3312 of 11K

92971

HCPCS Procedure Code

HCPCS code 92971 is the #3,312 most-billed Medicaid procedure code, with $2.0M in payments across 20K claims from 2018–2024. The national median cost per claim is $99.79.

Total Paid

$2.0M

0.00% of all spending

Total Claims

20K

Providers

4

Avg Cost/Claim

$98

National Cost Distribution

How much do providers bill per claim for 92971? Based on 4 providers billing this code nationally.

Median

$99.79

Average

$97.85

Std Dev

$7.65

Max

$103.99

Percentile Distribution (Cost per Claim)

p10
$90.26
p25
$93.89
Median
$99.79
p75
$103.75
p90
$103.89
p95
$103.94
p99
$103.98

50% of providers bill between $93.89 and $103.75 per claim for this code.

90% bill between $90.26 and $103.89.

Top 1% bill above $103.98.

About This Procedure

HCPCS code 92971 was billed by 4 providers across 20K claims, totaling $2.0M in Medicaid payments from 2018–2024. This code was used for 1,762 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$99.79

Providers Billing

4

National Spending

$2.0M

Avg/Median Ratio

0.98×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.