92499
HCPCS Procedure Code
HCPCS code 92499 is the #5,215 most-billed Medicaid procedure code, with $260K in payments across 38K claims from 2018–2024. The national median cost per claim is $2.08. Costs vary widely — the 90th percentile is $41.85 per claim, 20.1× the median.
Total Paid
$260K
0.00% of all spending
Total Claims
38K
Providers
84
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 92499? Based on 53 providers billing this code nationally.
Median
$2.08
Average
$17.70
Std Dev
$38.12
Max
$165.25
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.83 and $10.25 per claim for this code.
90% bill between $0.06 and $41.85.
Top 1% bill above $157.10.
About This Procedure
HCPCS code 92499 was billed by 84 providers across 38K claims, totaling $260K in Medicaid payments from 2018–2024. This code was used for 36K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.08
Providers Billing
53
National Spending
$260K
Avg/Median Ratio
8.51×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 92499
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1245263953 | $56K |
| 2 | 1376018846 | $53K |
| 3 | 1659345940 | $35K |
| 4 | 1649563636 | $23K |
| 5 | 1659319010 | $23K |
| 6 | 1003972225 | $12K |
| 7 | 1366592982 | $11K |
| 8 | 1154309821 | $11K |
| 9 | 1992747653 | $11K |
| 10 | 1770679045 | $5K |
| 11 | Medical Associates Of Ebnhc East Boston, MA · Clinic/Center, Community Health | $4K |
| 12 | 1720115702 | $3K |
| 13 | 1215388848 | $2K |
| 14 | 1801117015 | $2K |
| 15 | 1003913831 | $2K |
| 16 | 1851423883 | $1K |
| 17 | 1619973518 | $951 |
| 18 | 1831400795 | $774 |
| 19 | 1730292541 | $570 |
| 20 | 1225149222 | $568 |
Showing top 20 of 84 providers billing this code