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#2272 of 11K

96922

HCPCS Procedure Code

HCPCS code 96922 is the #2,272 most-billed Medicaid procedure code, with $7.2M in payments across 37K claims from 2018–2024. The national median cost per claim is $194.79.

Total Paid

$7.2M

0.00% of all spending

Total Claims

37K

Providers

21

Avg Cost/Claim

$194

National Cost Distribution

How much do providers bill per claim for 96922? Based on 21 providers billing this code nationally.

Median

$194.79

Average

$189.10

Std Dev

$79.09

Max

$393.41

Percentile Distribution (Cost per Claim)

p10
$115.47
p25
$136.38
Median
$194.79
p75
$235.01
p90
$266.66
p95
$276.32
p99
$369.99

50% of providers bill between $136.38 and $235.01 per claim for this code.

90% bill between $115.47 and $266.66.

Top 1% bill above $369.99.

About This Procedure

HCPCS code 96922 was billed by 21 providers across 37K claims, totaling $7.2M in Medicaid payments from 2018–2024. This code was used for 16K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$194.79

Providers Billing

21

National Spending

$7.2M

Avg/Median Ratio

0.97×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 96922

#ProviderTotal Paid
11720110968$3.9M
21013994839$839K
31629219522$609K
41912096280$492K
51932432929$275K
61194028423$207K
71003978669$199K
81417263922$180K
91912978834$110K
101124014741$74K
111134201460$60K
121285746552$45K
131710913231$39K
141487659512$28K
151447220215$25K
161225034234$18K
171871909804$14K
181063977999$11K
191225309586$11K
201730165614$7K

Showing top 20 of 21 providers billing this code