72128
HCPCS Procedure Code
HCPCS code 72128 is the #1,742 most-billed Medicaid procedure code, with $14.9M in payments across 264K claims from 2018–2024. The national median cost per claim is $33.24. Costs vary widely — the 90th percentile is $142.11 per claim, 4.3× the median.
Total Paid
$14.9M
0.00% of all spending
Total Claims
264K
Providers
588
Avg Cost/Claim
$56
National Cost Distribution
How much do providers bill per claim for 72128? Based on 576 providers billing this code nationally.
Median
$33.24
Average
$59.87
Std Dev
$88.53
Max
$1,126.26
Percentile Distribution (Cost per Claim)
50% of providers bill between $22.90 and $53.97 per claim for this code.
90% bill between $12.43 and $142.11.
Top 1% bill above $450.41.
About This Procedure
HCPCS code 72128 was billed by 588 providers across 264K claims, totaling $14.9M in Medicaid payments from 2018–2024. This code was used for 244K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$33.24
Providers Billing
576
National Spending
$14.9M
Avg/Median Ratio
1.80×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 72128
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $2.4M |
| 2 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $654K |
| 3 | 1609869916 | $412K |
| 4 | Palomar Health Escondido, CA · General Acute Care Hospital | $378K |
| 5 | Riverside University Health Systems - Medical Center Moreno Valley, CA · General Acute Care Hospital | $360K |
| 6 | Baptist Healthcare System Inc Corbin, KY · General Acute Care Hospital | $327K |
| 7 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $315K |
| 8 | 1326091448 | $285K |
| 9 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $281K |
| 10 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $273K |
| 11 | Banner-university Medical Group Phoenix, AZ · Clinic/Center, Primary Care | $260K |
| 12 | Hennepin Healthcare System Inc Minneapolis, MN · General Acute Care Hospital | $249K |
| 13 | 1811213994 | $249K |
| 14 | The Metrohealth System Cleveland, OH · Anesthesiology | $241K |
| 15 | 1669408159 | $236K |
| 16 | 1043293608 | $210K |
| 17 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $206K |
| 18 | 1023041159 | $201K |
| 19 | Alameda Health System Oakland, CA · General Acute Care Hospital | $184K |
| 20 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $170K |
Showing top 20 of 588 providers billing this code