01992
HCPCS Procedure Code
HCPCS code 01992 is the #1,523 most-billed Medicaid procedure code, with $20.1M in payments across 302K claims from 2018–2024. The national median cost per claim is $54.01. Costs vary widely — the 90th percentile is $122.03 per claim, 2.3× the median.
Total Paid
$20.1M
0.00% of all spending
Total Claims
302K
Providers
451
Avg Cost/Claim
$67
National Cost Distribution
How much do providers bill per claim for 01992? Based on 428 providers billing this code nationally.
Median
$54.01
Average
$84.84
Std Dev
$219.27
Max
$3,683.88
Percentile Distribution (Cost per Claim)
50% of providers bill between $33.42 and $87.58 per claim for this code.
90% bill between $14.05 and $122.03.
Top 1% bill above $781.04.
About This Procedure
HCPCS code 01992 was billed by 451 providers across 302K claims, totaling $20.1M in Medicaid payments from 2018–2024. This code was used for 254K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$54.01
Providers Billing
428
National Spending
$20.1M
Avg/Median Ratio
1.57×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 01992
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1740610039 | $1.0M |
| 2 | 1104176205 | $950K |
| 3 | 1184662884 | $943K |
| 4 | 1891235404 | $739K |
| 5 | 1619278439 | $636K |
| 6 | 1730548264 | $494K |
| 7 | 1245623834 | $493K |
| 8 | 1881986743 | $472K |
| 9 | 1326360082 | $461K |
| 10 | 1487019246 | $439K |
| 11 | 1336319086 | $438K |
| 12 | 1336530997 | $426K |
| 13 | 1891740296 | $376K |
| 14 | 1740403658 | $376K |
| 15 | 1508285776 | $352K |
| 16 | 1932264439 | $339K |
| 17 | 1649362740 | $333K |
| 18 | 1619374048 | $327K |
| 19 | 1700030939 | $299K |
| 20 | 1689816365 | $286K |
Showing top 20 of 451 providers billing this code