92579
HCPCS Procedure Code
HCPCS code 92579 is the #1,103 most-billed Medicaid procedure code, with $40.9M in payments across 740K claims from 2018–2024. The national median cost per claim is $30.58. Costs vary widely — the 90th percentile is $71.57 per claim, 2.3× the median.
Total Paid
$40.9M
0.00% of all spending
Total Claims
740K
Providers
914
Avg Cost/Claim
$55
National Cost Distribution
How much do providers bill per claim for 92579? Based on 890 providers billing this code nationally.
Median
$30.58
Average
$40.31
Std Dev
$37.56
Max
$305.38
Percentile Distribution (Cost per Claim)
50% of providers bill between $22.01 and $41.87 per claim for this code.
90% bill between $15.36 and $71.57.
Top 1% bill above $216.34.
About This Procedure
HCPCS code 92579 was billed by 914 providers across 740K claims, totaling $40.9M in Medicaid payments from 2018–2024. This code was used for 699K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$30.58
Providers Billing
890
National Spending
$40.9M
Avg/Median Ratio
1.32×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 92579
| # | Provider | Total Paid |
|---|---|---|
| 1 | Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children | $2.7M |
| 2 | Texas Children's Hospital Houston, TX · General Acute Care Hospital Children | $2.0M |
| 3 | Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children | $1.5M |
| 4 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $817K |
| 5 | Children's Specialized Hospital New Brunswick, NJ · Pediatrics | $754K |
| 6 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $730K |
| 7 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $700K |
| 8 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $655K |
| 9 | Children's Hospital Corporation Boston, MA · Clinic/Center | $654K |
| 10 | Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital | $628K |
| 11 | Banner - University Medical Center Tucson Campus Llc Tucson, AZ · Clinic/Center, Multi-Specialty | $612K |
| 12 | Johns Hopkins All Children's Hospital Inc St Petersburg, FL · General Acute Care Hospital Children | $574K |
| 13 | Tucson Medical Center Tucson, AZ · Clinic/Center, Hearing and Speech | $556K |
| 14 | The Nemours Foundation Wilmington, DE · General Acute Care Hospital Children | $505K |
| 15 | Christus Santa Rosa Health Care Corporation San Antonio, TX · General Acute Care Hospital | $499K |
| 16 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $444K |
| 17 | University Of Texas Medical Branch At Galveston Galveston, TX · Clinic/Center, Ambulatory Surgical | $438K |
| 18 | 1386709871 | $430K |
| 19 | 1639285513 | $426K |
| 20 | Children's Hospital Washington, DC · General Acute Care Hospital Children | $408K |
Showing top 20 of 914 providers billing this code