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#1523 of 11K

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)

p10
$14.05
p25
$33.42
Median
$54.01
p75
$87.58
p90
$122.03
p95
$146.17
p99
$781.04

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

#ProviderTotal Paid
11740610039$1.0M
21104176205$950K
31184662884$943K
41891235404$739K
51619278439$636K
61730548264$494K
71245623834$493K
81881986743$472K
91326360082$461K
101487019246$439K
111336319086$438K
121336530997$426K
131891740296$376K
141740403658$376K
151508285776$352K
161932264439$339K
171649362740$333K
181619374048$327K
191700030939$299K
201689816365$286K

Showing top 20 of 451 providers billing this code