94200
HCPCS Procedure Code
HCPCS code 94200 is the #2,449 most-billed Medicaid procedure code, with $5.7M in payments across 464K claims from 2018–2024. The national median cost per claim is $7.93. Costs vary widely — the 90th percentile is $19.96 per claim, 2.5× the median.
Total Paid
$5.7M
0.00% of all spending
Total Claims
464K
Providers
383
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for 94200? Based on 341 providers billing this code nationally.
Median
$7.93
Average
$10.24
Std Dev
$11.18
Max
$112.82
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.16 and $14.33 per claim for this code.
90% bill between $0.85 and $19.96.
Top 1% bill above $53.53.
About This Procedure
HCPCS code 94200 was billed by 383 providers across 464K claims, totaling $5.7M in Medicaid payments from 2018–2024. This code was used for 295K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.93
Providers Billing
341
National Spending
$5.7M
Avg/Median Ratio
1.29×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 94200
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1265812119 | $1.1M |
| 2 | 1114340528 | $892K |
| 3 | 1881074748 | $845K |
| 4 | 1972983815 | $330K |
| 5 | 1508868670 | $329K |
| 6 | 1750366118 | $263K |
| 7 | 1851457774 | $157K |
| 8 | 1710906995 | $116K |
| 9 | 1184902405 | $93K |
| 10 | 1639371586 | $89K |
| 11 | 1780670919 | $88K |
| 12 | 1740555754 | $67K |
| 13 | 1639172372 | $64K |
| 14 | 1821454505 | $58K |
| 15 | 1235596677 | $50K |
| 16 | 1083658918 | $42K |
| 17 | 1043318207 | $40K |
| 18 | Capital Health System, Inc. Pennington, NJ · General Acute Care Hospital | $39K |
| 19 | 1265521371 | $36K |
| 20 | 1366871378 | $34K |
Showing top 20 of 383 providers billing this code