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#4807 of 11K

92512

HCPCS Procedure Code

HCPCS code 92512 is the #4,807 most-billed Medicaid procedure code, with $392K in payments across 8K claims from 2018–2024. The national median cost per claim is $37.75.

Total Paid

$392K

0.00% of all spending

Total Claims

8K

Providers

15

Avg Cost/Claim

$46

National Cost Distribution

How much do providers bill per claim for 92512? Based on 14 providers billing this code nationally.

Median

$37.75

Average

$39.12

Std Dev

$20.44

Max

$77.33

Percentile Distribution (Cost per Claim)

p10
$16.30
p25
$21.69
Median
$37.75
p75
$53.08
p90
$61.64
p95
$69.00
p99
$75.66

50% of providers bill between $21.69 and $53.08 per claim for this code.

90% bill between $16.30 and $61.64.

Top 1% bill above $75.66.

About This Procedure

HCPCS code 92512 was billed by 15 providers across 8K claims, totaling $392K in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$37.75

Providers Billing

14

National Spending

$392K

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92512

#ProviderTotal Paid
1Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$193K
21124079769$84K
31205869260$50K
41043815848$19K
51750309589$18K
61861447153$11K
71447366901$5K
81639480973$5K
91861654352$2K
10City Medical Of Upper East Side Pllc

New York, NY · Clinic/Center Urgent Care

$1K
111972652634$1K
121780642371$1K
131366427585$668
141821069048$114
151154376499$0

Showing top 15 of 15 providers billing this code