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#6561 of 11K

94772

HCPCS Procedure Code

HCPCS code 94772 is the #6,561 most-billed Medicaid procedure code, with $56K in payments across 788 claims from 2018–2024. The national median cost per claim is $34.14. Costs vary widely — the 90th percentile is $112.48 per claim, 3.3× the median.

Total Paid

$56K

0.00% of all spending

Total Claims

788

Providers

4

Avg Cost/Claim

$71

National Cost Distribution

How much do providers bill per claim for 94772? Based on 4 providers billing this code nationally.

Median

$34.14

Average

$60.15

Std Dev

$56.42

Max

$144.54

Percentile Distribution (Cost per Claim)

p10
$28.63
p25
$29.91
Median
$34.14
p75
$64.38
p90
$112.48
p95
$128.51
p99
$141.34

50% of providers bill between $29.91 and $64.38 per claim for this code.

90% bill between $28.63 and $112.48.

Top 1% bill above $141.34.

About This Procedure

HCPCS code 94772 was billed by 4 providers across 788 claims, totaling $56K in Medicaid payments from 2018–2024. This code was used for 694 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$34.14

Providers Billing

4

National Spending

$56K

Avg/Median Ratio

1.76×

Moderately skewed

Provider Coverage

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