Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#205 of 11K

96372

Therapeutic injection, subcutaneous/intramuscular

Therapeutic injection, subcutaneous/intramuscular is the #205 most-billed Medicaid procedure code, with $758.9M in payments across 45.3M claims from 2018–2024. The national median cost per claim is $9.56. Costs vary widely — the 90th percentile is $22.47 per claim, 2.4× the median.

Total Paid

$758.9M

0.07% of all spending

Total Claims

45.3M

Providers

24K

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for 96372? Based on 22K providers billing this code nationally.

Median

$9.56

Average

$13.86

Std Dev

$29.72

Max

$2,088.18

Percentile Distribution (Cost per Claim)

p10
$1.57
p25
$4.89
Median
$9.56
p75
$13.98
p90
$22.47
p95
$38.12
p99
$126.78

50% of providers bill between $4.89 and $13.98 per claim for this code.

90% bill between $1.57 and $22.47.

Top 1% bill above $126.78.

About This Procedure

HCPCS code 96372 (Therapeutic injection, subcutaneous/intramuscular) was billed by 24K providers across 45.3M claims, totaling $758.9M in Medicaid payments from 2018–2024. This code was used for 35.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.56

Providers Billing

22K

National Spending

$758.9M

Avg/Median Ratio

1.45×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 96372

#ProviderTotal Paid
11699756221$9.1M
21508856535$8.2M
3Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$6.8M
4State Of Connecticut

Farmington, CT · Counselor, Professional

$6.7M
5Alaska Native Tribal Health Consortium

Anchorage, AK · General Acute Care Hospital

$5.7M
6Spartanburg Medical Center

Spartanburg, SC · Ambulance

$5.4M
7Community Mental Health Authority Of Clinton Eaton Ingham Counties

Lansing, MI · Clinic/Center Mental Health (Including Community Mental Health Center)

$4.2M
8Bronxcare Health System

Bronx, NY · General Acute Care Hospital

$4.0M
9Alabama Department Of Mental Health And Mental Retardation

Montgomery, AL · Community/Behavioral Health

$3.9M
10Antelope Valley Health Care District

Lancaster, CA · General Acute Care Hospital

$3.7M
111245303890$3.6M
12County Of Washtenaw

Ypsilanti, MI · Clinic/Center, Mental Health (Including Community Mental Health Center)

$3.6M
13Genesee Health System

Flint, MI · Community/Behavioral Health

$3.3M
141407887003$3.3M
15Community Mental Health For Central Michigan

Mt Pleasant, MI · Psychiatry & Neurology Psychiatry

$3.3M
16Northern Lakes Community Mental Health Authority

Traverse City, MI · Occupational Therapist

$3.2M
17Macomb County Community Mental Health

Clinton Twp, MI · Clinic/Center Mental Health (Including Community Mental Health Center)

$3.1M
181851361778$3.0M
19Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$2.7M
20Cns Healthcare

Novi, MI · Psychiatry & Neurology Psychiatry

$2.7M

Showing top 20 of 24K providers billing this code