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#2714 of 11K

92570

HCPCS Procedure Code

HCPCS code 92570 is the #2,714 most-billed Medicaid procedure code, with $4.0M in payments across 189K claims from 2018–2024. The national median cost per claim is $19.67. Costs vary widely — the 90th percentile is $39.82 per claim, 2.0× the median.

Total Paid

$4.0M

0.00% of all spending

Total Claims

189K

Providers

229

Avg Cost/Claim

$21

National Cost Distribution

How much do providers bill per claim for 92570? Based on 225 providers billing this code nationally.

Median

$19.67

Average

$21.46

Std Dev

$12.82

Max

$82.07

Percentile Distribution (Cost per Claim)

p10
$6.81
p25
$13.46
Median
$19.67
p75
$26.76
p90
$39.82
p95
$46.29
p99
$53.82

50% of providers bill between $13.46 and $26.76 per claim for this code.

90% bill between $6.81 and $39.82.

Top 1% bill above $53.82.

About This Procedure

HCPCS code 92570 was billed by 229 providers across 189K claims, totaling $4.0M in Medicaid payments from 2018–2024. This code was used for 180K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$19.67

Providers Billing

225

National Spending

$4.0M

Avg/Median Ratio

1.09×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92570

#ProviderTotal Paid
11699962431$171K
21154361665$153K
31922004480$143K
41356472492$143K
51740345669$137K
61942861919$130K
71760783344$114K
81366697476$108K
91740324508$103K
101194766824$89K
111609800226$88K
121598854846$83K
131437210002$75K
141861428096$73K
151336242569$68K
161760601827$64K
171326093543$62K
181235463498$61K
191144354895$59K
201932408630$58K

Showing top 20 of 229 providers billing this code