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#4806 of 11K

92978

HCPCS Procedure Code

HCPCS code 92978 is the #4,806 most-billed Medicaid procedure code, with $393K in payments across 3,546 claims from 2018–2024. The national median cost per claim is $58.79. Costs vary widely — the 90th percentile is $266.80 per claim, 4.5× the median.

Total Paid

$393K

0.00% of all spending

Total Claims

3,546

Providers

34

Avg Cost/Claim

$111

National Cost Distribution

How much do providers bill per claim for 92978? Based on 27 providers billing this code nationally.

Median

$58.79

Average

$121.95

Std Dev

$111.86

Max

$440.71

Percentile Distribution (Cost per Claim)

p10
$33.18
p25
$42.88
Median
$58.79
p75
$210.25
p90
$266.80
p95
$281.38
p99
$400.03

50% of providers bill between $42.88 and $210.25 per claim for this code.

90% bill between $33.18 and $266.80.

Top 1% bill above $400.03.

About This Procedure

HCPCS code 92978 was billed by 34 providers across 3,546 claims, totaling $393K in Medicaid payments from 2018–2024. This code was used for 3,255 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$58.79

Providers Billing

27

National Spending

$393K

Avg/Median Ratio

2.07×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 92978

#ProviderTotal Paid
1The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$98K
2Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$90K
31023171501$36K
41639172372$32K
51457467227$31K
61982787487$26K
7Southern Ohio Medical Center

Portsmouth, OH · Clinical Medical Laboratory

$20K
81043279565$10K
9Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$9K
10St Lukes Roosevelt Hospital Center

New York, NY · Case Management

$7K
11Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$6K
121124248752$5K
13Nyu Langone Hospitals

Brooklyn, NY · General Acute Care Hospital

$4K
14University Of Washington

Seattle, WA · Clinic/Center, Dental

$3K
151477616571$3K
16Robert Wood Johnson University Hospital, Inc

New Brunswick, NJ · General Acute Care Hospital

$2K
171811371321$2K
181316135965$1K
191023041159$844
201811214489$823

Showing top 20 of 34 providers billing this code