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#3216 of 11K

92018

HCPCS Procedure Code

HCPCS code 92018 is the #3,216 most-billed Medicaid procedure code, with $2.2M in payments across 5K claims from 2018–2024. The national median cost per claim is $109.30. Costs vary widely — the 90th percentile is $949.98 per claim, 8.7× the median.

Total Paid

$2.2M

0.00% of all spending

Total Claims

5K

Providers

29

Avg Cost/Claim

$414

National Cost Distribution

How much do providers bill per claim for 92018? Based on 29 providers billing this code nationally.

Median

$109.30

Average

$309.13

Std Dev

$356.71

Max

$1,143.35

Percentile Distribution (Cost per Claim)

p10
$45.30
p25
$68.79
Median
$109.30
p75
$436.10
p90
$949.98
p95
$1,072.43
p99
$1,124.75

50% of providers bill between $68.79 and $436.10 per claim for this code.

90% bill between $45.30 and $949.98.

Top 1% bill above $1,124.75.

About This Procedure

HCPCS code 92018 was billed by 29 providers across 5K claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$109.30

Providers Billing

29

National Spending

$2.2M

Avg/Median Ratio

2.83×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 92018

#ProviderTotal Paid
1Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$1.3M
2Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$206K
31558402974$124K
4Children's Hospital Corporation

Boston, MA · Clinic/Center

$96K
51679660617$93K
6Texas Children's Hospital

Houston, TX · General Acute Care Hospital Children

$90K
7Vhs Childrens Hospital Of Michigan Inc

Detroit, MI · Clinic/Center, Ambulatory Surgical

$33K
81033112230$25K
91689744450$25K
10Memorial Hospital For Cancer And Allied Diseases

New York, NY · Pharmacy

$23K
111306335088$22K
12Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$21K
131346230968$15K
14Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$14K
151073574810$12K
16Ihc Health Services, Inc.

Salt Lake City, UT · Psychiatric Unit

$12K
171699766261$7K
18Variety Children's Hospital

Miami, FL · General Acute Care Hospital Children

$6K
19Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$6K
201366598807$6K

Showing top 20 of 29 providers billing this code