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#2707 of 11K

99492

HCPCS Procedure Code

HCPCS code 99492 is the #2,707 most-billed Medicaid procedure code, with $4.0M in payments across 42K claims from 2018–2024. The national median cost per claim is $68.72.

Total Paid

$4.0M

0.00% of all spending

Total Claims

42K

Providers

172

Avg Cost/Claim

$97

National Cost Distribution

How much do providers bill per claim for 99492? Based on 161 providers billing this code nationally.

Median

$68.72

Average

$80.23

Std Dev

$120.59

Max

$1,197.02

Percentile Distribution (Cost per Claim)

p10
$6.64
p25
$30.73
Median
$68.72
p75
$103.67
p90
$129.83
p95
$140.37
p99
$482.97

50% of providers bill between $30.73 and $103.67 per claim for this code.

90% bill between $6.64 and $129.83.

Top 1% bill above $482.97.

About This Procedure

HCPCS code 99492 was billed by 172 providers across 42K claims, totaling $4.0M in Medicaid payments from 2018–2024. This code was used for 31K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$68.72

Providers Billing

161

National Spending

$4.0M

Avg/Median Ratio

1.17×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 99492

#ProviderTotal Paid
11831269315$1.4M
21528059805$817K
31245795459$360K
41548664840$134K
51225356157$85K
61417924762$62K
71194182543$60K
81477827418$56K
91982750600$54K
101992036545$50K
111821288606$47K
121093475220$45K
13Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$37K
141407483175$30K
151851318604$29K
161750613329$29K
171649538109$28K
181427230788$26K
191780676650$22K
201568093672$22K

Showing top 20 of 172 providers billing this code