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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $98K |
| 2 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $90K |
| 3 | 1023171501 | $36K |
| 4 | 1639172372 | $32K |
| 5 | 1457467227 | $31K |
| 6 | 1982787487 | $26K |
| 7 | Southern Ohio Medical Center Portsmouth, OH · Clinical Medical Laboratory | $20K |
| 8 | 1043279565 | $10K |
| 9 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $9K |
| 10 | St Lukes Roosevelt Hospital Center New York, NY · Case Management | $7K |
| 11 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $6K |
| 12 | 1124248752 | $5K |
| 13 | Nyu Langone Hospitals Brooklyn, NY · General Acute Care Hospital | $4K |
| 14 | University Of Washington Seattle, WA · Clinic/Center, Dental | $3K |
| 15 | 1477616571 | $3K |
| 16 | Robert Wood Johnson University Hospital, Inc New Brunswick, NJ · General Acute Care Hospital | $2K |
| 17 | 1811371321 | $2K |
| 18 | 1316135965 | $1K |
| 19 | 1023041159 | $844 |
| 20 | 1811214489 | $823 |
Showing top 20 of 34 providers billing this code