#1632 of 11K

72050

HCPCS Procedure Code

HCPCS code 72050 is the #1,632 most-billed Medicaid procedure code, with $17.4M in payments across 555K claims from 2018–2024. The national median cost per claim is $23.33. Costs vary widely — the 90th percentile is $63.29 per claim, 2.7× the median.

Total Paid

$17.4M

0.00% of all spending

Total Claims

555K

Providers

Avg Cost/Claim

$31

National Cost Distribution

How much do providers bill per claim for 72050? Based on 2K providers billing this code nationally.

Median

$23.33

Average

$31.38

Std Dev

$31.94

Max

$474.34

Percentile Distribution (Cost per Claim)

p10

$7.85

p25

$11.87

Median

$23.33

p75

$39.39

p90

$63.29

p95

$87.45

p99

$147.76

50% of providers bill between $11.87 and $39.39 per claim for this code.

90% bill between $7.85 and $63.29.

Top 1% bill above $147.76.

About This Procedure

HCPCS code 72050 was billed by 2K providers across 555K claims, totaling $17.4M in Medicaid payments from 2018–2024. This code was used for 525K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$23.33

Providers Billing

National Spending

$17.4M

Avg/Median Ratio

1.35×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 72050

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Lenox Hill Radiology & Medical Imaging Associates, Pc New York, NY · Radiology, Body Imaging	$352K	$39.75	1.7× median	Above 75th
2	Baptist Healthcare System Inc Corbin, KY · General Acute Care Hospital	$349K	$102.16	4.4× median	Top 10%
3	State Of Connecticut Farmington, CT · Counselor, Professional	$345K	$83.21	3.6× median	Top 10%
4	Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology	$337K	$24.03	1.0× median	Above Median
5	Unm Hospital Albuquerque, NM · General Acute Care Hospital	$248K	$94.54	4.1× median	Top 10%
6	New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization	$245K	$52.93	2.3× median	Above 75th
7	University Of Kentucky Lexington, KY · General Acute Care Hospital	$243K	$146.92	6.3× median	Top 10%
8	1265437644	$240K	$100.65	4.3× median	Top 10%
9	1689282147	$239K	$156.78	6.7× median	Top 1%
10	1972004489	$206K	$32.51	1.4× median	Above Median
11	1043293608	$201K	$109.49	4.7× median	Top 10%
12	1790736551	$180K	$52.36	2.2× median	Above 75th
13	1942397880	$172K	$48.80	2.1× median	Above 75th
14	1629327887	$170K	$39.52	1.7× median	Above 75th
15	1720023997	$169K	$39.65	1.7× median	Above 75th
16	1497148456	$165K	$36.69	1.6× median	Above Median
17	1992701429	$147K	$98.61	4.2× median	Top 10%
18	The Hospital Of Central Connecticut At New Britain General And Bradley New Britain, CT · General Acute Care Hospital	$141K	$59.00	2.5× median	Above 75th
19	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$137K	$41.23	1.8× median	Above 75th
20	The William W Backus Hospital Norwich, CT · Clinic/Center, Emergency Care	$134K	$58.11	2.5× median	Above 75th

Showing top 20 of 2K providers billing this code

Related Procedures

72040$29.7M 72052$1.8M 72046$972

← All procedures Top providers →