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#1576 of 11K

92065

HCPCS Procedure Code

HCPCS code 92065 is the #1,576 most-billed Medicaid procedure code, with $18.6M in payments across 451K claims from 2018–2024. The national median cost per claim is $30.29.

Total Paid

$18.6M

0.00% of all spending

Total Claims

451K

Providers

189

Avg Cost/Claim

$41

National Cost Distribution

How much do providers bill per claim for 92065? Based on 184 providers billing this code nationally.

Median

$30.29

Average

$31.76

Std Dev

$15.95

Max

$165.00

Percentile Distribution (Cost per Claim)

p10
$16.86
p25
$24.88
Median
$30.29
p75
$37.56
p90
$43.96
p95
$47.05
p99
$87.40

50% of providers bill between $24.88 and $37.56 per claim for this code.

90% bill between $16.86 and $43.96.

Top 1% bill above $87.40.

About This Procedure

HCPCS code 92065 was billed by 189 providers across 451K claims, totaling $18.6M in Medicaid payments from 2018–2024. This code was used for 161K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$30.29

Providers Billing

184

National Spending

$18.6M

Avg/Median Ratio

1.05×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92065

#ProviderTotal Paid
11669808846$2.6M
21427098227$2.0M
31972755874$1.5M
41760796270$923K
51942326244$865K
61720177066$802K
71073813689$699K
81407829856$553K
91922060755$503K
101073505814$368K
111558539759$342K
121669470019$314K
131225107873$299K
141215376199$261K
151063480218$252K
161710956131$222K
171720127798$222K
181851384986$208K
191457412991$198K
201518146513$163K

Showing top 20 of 189 providers billing this code