72195
HCPCS Procedure Code
HCPCS code 72195 is the #2,741 most-billed Medicaid procedure code, with $3.9M in payments across 14K claims from 2018–2024. The national median cost per claim is $179.40. Costs vary widely — the 90th percentile is $509.70 per claim, 2.8× the median.
Total Paid
$3.9M
0.00% of all spending
Total Claims
14K
Providers
60
Avg Cost/Claim
$271
National Cost Distribution
How much do providers bill per claim for 72195? Based on 60 providers billing this code nationally.
Median
$179.40
Average
$232.04
Std Dev
$189.05
Max
$836.18
Percentile Distribution (Cost per Claim)
50% of providers bill between $106.56 and $290.29 per claim for this code.
90% bill between $39.51 and $509.70.
Top 1% bill above $815.82.
About This Procedure
HCPCS code 72195 was billed by 60 providers across 14K claims, totaling $3.9M in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$179.40
Providers Billing
60
National Spending
$3.9M
Avg/Median Ratio
1.29×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 72195
| # | Provider | Total Paid |
|---|---|---|
| 1 | Banner - University Medical Center Tucson Campus Llc Tucson, AZ · Clinic/Center, Multi-Specialty | $922K |
| 2 | Tucson Medical Center Tucson, AZ · Clinic/Center, Hearing and Speech | $873K |
| 3 | Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology | $526K |
| 4 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $187K |
| 5 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $169K |
| 6 | Lenox Hill Radiology & Medical Imaging Associates, Pc New York, NY · Radiology, Body Imaging | $112K |
| 7 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $99K |
| 8 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $87K |
| 9 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $87K |
| 10 | 1932280666 | $84K |
| 11 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $67K |
| 12 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $55K |
| 13 | Children's Hospital Corporation Boston, MA · Clinic/Center | $52K |
| 14 | 1740283324 | $51K |
| 15 | 1871528026 | $47K |
| 16 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $47K |
| 17 | 1477549756 | $47K |
| 18 | The Milton S Hershey Medical Center Hershey, PA · General Acute Care Hospital | $46K |
| 19 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $41K |
| 20 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $35K |
Showing top 20 of 60 providers billing this code