#2890 of 11K

X3922

HCPCS Procedure Code

HCPCS code X3922 is the #2,890 most-billed Medicaid procedure code, with $3.1M in payments across 83K claims from 2018–2024. The national median cost per claim is $32.97.

Total Paid

$3.1M

0.00% of all spending

Total Claims

83K

Providers

107

Avg Cost/Claim

$38

National Cost Distribution

How much do providers bill per claim for X3922? Based on 107 providers billing this code nationally.

Median

$32.97

Average

$36.74

Std Dev

$13.86

Max

$95.69

Percentile Distribution (Cost per Claim)

p10

$23.50

p25

$28.93

Median

$32.97

p75

$43.20

p90

$50.57

p95

$56.74

p99

$93.44

50% of providers bill between $28.93 and $43.20 per claim for this code.

90% bill between $23.50 and $50.57.

Top 1% bill above $93.44.

About This Procedure

HCPCS code X3922 was billed by 107 providers across 83K claims, totaling $3.1M in Medicaid payments from 2018–2024. This code was used for 76K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$32.97

Providers Billing

107

National Spending

$3.1M

Avg/Median Ratio

1.11×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for X3922

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1467507046	$116K	$44.55	1.4× median	Above 75th
2	Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator	$107K	$46.22	1.4× median	Above 75th
3	1073668521	$105K	$55.37	1.7× median	Top 10%
4	1003961525	$101K	$51.25	1.6× median	Top 10%
5	1912072844	$101K	$30.58	0.9× median	Below Median
6	1558408294	$96K	$40.25	1.2× median	Above Median
7	1689729246	$83K	$57.86	1.8× median	Top 10%
8	1780761981	$80K	$34.93	1.1× median	Above Median
9	1518004910	$77K	$42.37	1.3× median	Above Median
10	1952448698	$75K	$44.36	1.3× median	Above 75th
11	1730234261	$69K	$51.77	1.6× median	Top 10%
12	1194870709	$67K	$39.41	1.2× median	Above Median
13	1730250192	$64K	$36.40	1.1× median	Above Median
14	1235284811	$60K	$41.31	1.3× median	Above Median
15	1073650727	$58K	$44.34	1.3× median	Above 75th
16	1205907938	$58K	$28.61	0.9× median	Below Median
17	1831244318	$57K	$43.78	1.3× median	Above 75th
18	1174660740	$57K	$40.23	1.2× median	Above Median
19	1831244250	$52K	$46.62	1.4× median	Above 75th
20	1548315104	$52K	$41.57	1.3× median	Above Median

Showing top 20 of 107 providers billing this code

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