#5192 of 11K

95992

HCPCS Procedure Code

HCPCS code 95992 is the #5,192 most-billed Medicaid procedure code, with $265K in payments across 8,835 claims from 2018–2024. The national median cost per claim is $18.79. Costs vary widely — the 90th percentile is $67.64 per claim, 3.6× the median.

Total Paid

$265K

0.00% of all spending

Total Claims

8,835

Providers

Avg Cost/Claim

$30

National Cost Distribution

How much do providers bill per claim for 95992? Based on 27 providers billing this code nationally.

Median

$18.79

Average

$23.96

Std Dev

$27.06

Max

$97.77

Percentile Distribution (Cost per Claim)

p10

$2.15

p25

$5.51

Median

$18.79

p75

$24.65

p90

$67.64

p95

$86.19

p99

$94.99

50% of providers bill between $5.51 and $24.65 per claim for this code.

90% bill between $2.15 and $67.64.

Top 1% bill above $94.99.

About This Procedure

HCPCS code 95992 was billed by 31 providers across 8,835 claims, totaling $265K in Medicaid payments from 2018–2024. This code was used for 5,745 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$18.79

Providers Billing

National Spending

$265K

Avg/Median Ratio

1.28×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 95992

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1144385998	$147K	$56.59	3.0× median	Above 75th
2	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$48K	$84.20	4.5× median	Top 10%
3	1003044876	$14K	$26.57	1.4× median	Above 75th
4	1992124978	$12K	$18.79	1.0× median	Above Median
5	1073517058	$10K	$22.72	1.2× median	Above Median
6	1376593442	$10K	$19.77	1.1× median	Above Median
7	Hartford Hospital Hartford, CT · General Acute Care Hospital	$4K	$5.64	0.3× median	Below Median
8	1013174929	$4K	$4.52	0.2× median	Below Median
9	Ohio State University Hospitals Columbus, OH · General Acute Care Hospital	$2K	$97.77	5.2× median	Top 1%
10	1295756641	$2K	$10.28	0.5× median	Below Median
11	Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine	$1K	$87.05	4.6× median	Top 10%
12	1558356741	$1K	$5.37	0.3× median	Below Median
13	1316107147	$1K	$2.15	0.1× median	Below Median
14	1124573522	$1K	$9.56	0.5× median	Below Median
15	Grossmont Hospital Corporation La Mesa, CA · General Acute Care Hospital	$942	$13.09	0.7× median	Below Median
16	1689745424	$916	$9.85	0.5× median	Below Median
17	1568575215	$905	$3.65	0.2× median	Below Median
18	1245251222	$772	$35.11	1.9× median	Above 75th
19	1790183564	$651	$21.70	1.2× median	Above Median
20	1508084641	$631	$20.35	1.1× median	Above Median

Showing top 20 of 31 providers billing this code

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