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#5223 of 11K

92575

HCPCS Procedure Code

HCPCS code 92575 is the #5,223 most-billed Medicaid procedure code, with $258K in payments across 6K claims from 2018–2024. The national median cost per claim is $12.98. Costs vary widely — the 90th percentile is $43.42 per claim, 3.3× the median.

Total Paid

$258K

0.00% of all spending

Total Claims

6K

Providers

5

Avg Cost/Claim

$42

National Cost Distribution

How much do providers bill per claim for 92575? Based on 5 providers billing this code nationally.

Median

$12.98

Average

$20.69

Std Dev

$20.67

Max

$46.55

Percentile Distribution (Cost per Claim)

p10
$2.45
p25
$3.33
Median
$12.98
p75
$38.71
p90
$43.42
p95
$44.99
p99
$46.24

50% of providers bill between $3.33 and $38.71 per claim for this code.

90% bill between $2.45 and $43.42.

Top 1% bill above $46.24.

About This Procedure

HCPCS code 92575 was billed by 5 providers across 6K claims, totaling $258K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.98

Providers Billing

5

National Spending

$258K

Avg/Median Ratio

1.59×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 92575

#ProviderTotal Paid
11225622889$250K
21942084298$6K
31669575056$961
41154810224$306
51538312426$169

Showing top 5 of 5 providers billing this code