Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#5056 of 11K

70492

HCPCS Procedure Code

HCPCS code 70492 is the #5,056 most-billed Medicaid procedure code, with $306K in payments across 1K claims from 2018–2024. The national median cost per claim is $145.57. Costs vary widely — the 90th percentile is $305.68 per claim, 2.1× the median.

Total Paid

$306K

0.00% of all spending

Total Claims

1K

Providers

9

Avg Cost/Claim

$227

National Cost Distribution

How much do providers bill per claim for 70492? Based on 9 providers billing this code nationally.

Median

$145.57

Average

$163.85

Std Dev

$120.25

Max

$384.15

Percentile Distribution (Cost per Claim)

p10
$50.52
p25
$58.77
Median
$145.57
p75
$242.62
p90
$305.68
p95
$344.92
p99
$376.31

50% of providers bill between $58.77 and $242.62 per claim for this code.

90% bill between $50.52 and $305.68.

Top 1% bill above $376.31.

About This Procedure

HCPCS code 70492 was billed by 9 providers across 1K claims, totaling $306K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$145.57

Providers Billing

9

National Spending

$306K

Avg/Median Ratio

1.13×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 70492

#ProviderTotal Paid
1Pikeville Medical Center Inc

Pikeville, KY · General Acute Care Hospital

$245K
21013981554$16K
31679513196$13K
41124079868$9K
5Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$8K
61902062136$7K
71700821477$3K
81972004489$3K
91558313213$2K

Showing top 9 of 9 providers billing this code