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#4166 of 11K

72192

HCPCS Procedure Code

HCPCS code 72192 is the #4,166 most-billed Medicaid procedure code, with $791K in payments across 15K claims from 2018–2024. The national median cost per claim is $32.70. Costs vary widely — the 90th percentile is $143.98 per claim, 4.4× the median.

Total Paid

$791K

0.00% of all spending

Total Claims

15K

Providers

101

Avg Cost/Claim

$53

National Cost Distribution

How much do providers bill per claim for 72192? Based on 98 providers billing this code nationally.

Median

$32.70

Average

$58.78

Std Dev

$62.00

Max

$310.46

Percentile Distribution (Cost per Claim)

p10
$12.75
p25
$23.71
Median
$32.70
p75
$67.40
p90
$143.98
p95
$191.52
p99
$259.08

50% of providers bill between $23.71 and $67.40 per claim for this code.

90% bill between $12.75 and $143.98.

Top 1% bill above $259.08.

About This Procedure

HCPCS code 72192 was billed by 101 providers across 15K claims, totaling $791K in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$32.70

Providers Billing

98

National Spending

$791K

Avg/Median Ratio

1.80×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 72192

#ProviderTotal Paid
1The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$188K
2University Of Kentucky

Lexington, KY · General Acute Care Hospital

$127K
31740283324$42K
4Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$41K
5Ohiohealth Corporation

Columbus, OH · General Acute Care Hospital

$37K
61487608931$36K
71811369721$24K
81376719666$23K
9Miami Valley Hospital

Dayton, OH · General Acute Care Hospital

$20K
101861402935$17K
111326091448$16K
12Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$15K
131376642900$14K
141144872052$11K
151043590227$10K
161053324129$9K
171215394036$9K
18Medstar Washington Hospital Center

Washington, DC · General Acute Care Hospital

$8K
19Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$7K
201174700520$7K

Showing top 20 of 101 providers billing this code