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#5215 of 11K

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)

p10
$0.06
p25
$0.83
Median
$2.08
p75
$10.25
p90
$41.85
p95
$124.76
p99
$157.10

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

#ProviderTotal Paid
11245263953$56K
21376018846$53K
31659345940$35K
41649563636$23K
51659319010$23K
61003972225$12K
71366592982$11K
81154309821$11K
91992747653$11K
101770679045$5K
11Medical Associates Of Ebnhc

East Boston, MA · Clinic/Center, Community Health

$4K
121720115702$3K
131215388848$2K
141801117015$2K
151003913831$2K
161851423883$1K
171619973518$951
181831400795$774
191730292541$570
201225149222$568

Showing top 20 of 84 providers billing this code