72193
HCPCS Procedure Code
HCPCS code 72193 is the #4,404 most-billed Medicaid procedure code, with $610K in payments across 7K claims from 2018–2024. The national median cost per claim is $36.90. Costs vary widely — the 90th percentile is $324.27 per claim, 8.8× the median.
Total Paid
$610K
0.00% of all spending
Total Claims
7K
Providers
39
Avg Cost/Claim
$86
National Cost Distribution
How much do providers bill per claim for 72193? Based on 39 providers billing this code nationally.
Median
$36.90
Average
$115.75
Std Dev
$129.36
Max
$462.12
Percentile Distribution (Cost per Claim)
50% of providers bill between $30.10 and $173.23 per claim for this code.
90% bill between $15.58 and $324.27.
Top 1% bill above $447.64.
About This Procedure
HCPCS code 72193 was billed by 39 providers across 7K claims, totaling $610K in Medicaid payments from 2018–2024. This code was used for 7K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$36.90
Providers Billing
39
National Spending
$610K
Avg/Median Ratio
3.14×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 72193
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1275566200 | $222K |
| 2 | 1740283324 | $64K |
| 3 | Multicare Health System Tacoma, WA · Community/Behavioral Health | $60K |
| 4 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $57K |
| 5 | 1467567511 | $47K |
| 6 | 1871501916 | $32K |
| 7 | Public Hospital District 1 Of King County Renton, WA · General Acute Care Hospital | $18K |
| 8 | 1508942681 | $16K |
| 9 | Banner - University Medical Center Phoenix Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic | $12K |
| 10 | Dignity Health Phoenix, AZ · Rehabilitation Unit | $10K |
| 11 | 1679529978 | $7K |
| 12 | 1376719666 | $6K |
| 13 | 1841231461 | $6K |
| 14 | Newyork-presbyterian-queens Flushing, NY · General Acute Care Hospital | $6K |
| 15 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $5K |
| 16 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $5K |
| 17 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $5K |
| 18 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $4K |
| 19 | 1871528026 | $3K |
| 20 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $3K |
Showing top 20 of 39 providers billing this code