#2138 of 11K

92558

HCPCS Procedure Code

HCPCS code 92558 is the #2,138 most-billed Medicaid procedure code, with $8.6M in payments across 973K claims from 2018–2024. The national median cost per claim is $6.67. Costs vary widely — the 90th percentile is $28.50 per claim, 4.3× the median.

Total Paid

$8.6M

0.00% of all spending

Total Claims

973K

Providers

712

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 92558? Based on 619 providers billing this code nationally.

Median

$6.67

Average

$12.47

Std Dev

$20.77

Max

$209.80

Percentile Distribution (Cost per Claim)

p10

$0.74

p25

$3.00

Median

$6.67

p75

$12.26

p90

$28.50

p95

$44.37

p99

$118.47

50% of providers bill between $3.00 and $12.26 per claim for this code.

90% bill between $0.74 and $28.50.

Top 1% bill above $118.47.

About This Procedure

HCPCS code 92558 was billed by 712 providers across 973K claims, totaling $8.6M in Medicaid payments from 2018–2024. This code was used for 885K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.67

Providers Billing

619

National Spending

$8.6M

Avg/Median Ratio

1.87×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 92558

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1306898960	$792K	$108.38	16.2× median	Top 10%
2	Children's Hospital Corporation Boston, MA · Clinic/Center	$426K	$34.60	5.2× median	Top 10%
3	1558746248	$336K	$10.62	1.6× median	Above Median
4	Cambridge Public Health Commission Cambridge, MA · General Acute Care Hospital	$299K	$20.38	3.1× median	Above 75th
5	1306871660	$234K	$12.02	1.8× median	Above Median
6	1861432726	$222K	$87.78	13.2× median	Top 10%
7	1942384888	$147K	$8.75	1.3× median	Above Median
8	New York City Health And Hospitals Corporation Elmhurst, NY · Internal Medicine	$131K	$6.43	1.0× median	Below Median
9	1144464553	$131K	$7.92	1.2× median	Above Median
10	1689779860	$129K	$49.72	7.5× median	Top 10%
11	1700949336	$124K	$209.80	31.5× median	Top 1%
12	1407995723	$124K	$14.50	2.2× median	Above 75th
13	1134137375	$109K	$13.37	2.0× median	Above 75th
14	1891405643	$108K	$33.72	5.1× median	Top 10%
15	1891070777	$108K	$27.11	4.1× median	Above 75th
16	New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine	$106K	$23.76	3.6× median	Above 75th
17	Unm Hospital Albuquerque, NM · General Acute Care Hospital	$99K	$54.78	8.2× median	Top 10%
18	Medical Associates Of Ebnhc East Boston, MA · Clinic/Center, Community Health	$98K	$138.12	20.7× median	Top 1%
19	1164558078	$89K	$23.74	3.6× median	Above 75th
20	1962501627	$87K	$10.25	1.5× median	Above Median

Showing top 20 of 712 providers billing this code

Related Procedures

92551Screening audiometry, pure tone, air only$210.9M 92557Comprehensive audiometry, air, bone, and speech testing$163.1M 92567$100.3M 92552Pure tone audiometry, air only, each ear$85.4M 92550$15.4M

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