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#630 of 11K

92587

HCPCS Procedure Code

HCPCS code 92587 is the #630 most-billed Medicaid procedure code, with $121.0M in payments across 3.7M claims from 2018–2024. The national median cost per claim is $19.24. Costs vary widely — the 90th percentile is $51.67 per claim, 2.7× the median.

Total Paid

$121.0M

0.01% of all spending

Total Claims

3.7M

Providers

3K

Avg Cost/Claim

$33

National Cost Distribution

How much do providers bill per claim for 92587? Based on 3K providers billing this code nationally.

Median

$19.24

Average

$29.74

Std Dev

$44.53

Max

$719.00

Percentile Distribution (Cost per Claim)

p10
$5.89
p25
$12.25
Median
$19.24
p75
$31.25
p90
$51.67
p95
$85.05
p99
$218.13

50% of providers bill between $12.25 and $31.25 per claim for this code.

90% bill between $5.89 and $51.67.

Top 1% bill above $218.13.

About This Procedure

HCPCS code 92587 was billed by 3K providers across 3.7M claims, totaling $121.0M in Medicaid payments from 2018–2024. This code was used for 3.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$19.24

Providers Billing

3K

National Spending

$121.0M

Avg/Median Ratio

1.55×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 92587

#ProviderTotal Paid
1Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$7.5M
2Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$4.2M
3Connecticut Children's Medical Center

Hartford, CT · General Acute Care Hospital, Children

$1.9M
4Hmh Hospitals Corporation

Hackensack, NJ · Ambulance

$1.9M
5Texas Children's Hospital

Houston, TX · General Acute Care Hospital Children

$1.8M
6Children's Hospital Corporation

Boston, MA · Clinic/Center

$1.7M
71568576056$1.5M
8Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$1.5M
9Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$1.4M
101346297843$1.4M
11Maricopa County Special Health Care District

Phoenix, AZ · General Acute Care Hospital

$1.4M
12Variety Children's Hospital

Miami, FL · General Acute Care Hospital Children

$1.4M
13Dayton Children's Hospital

Dayton, OH · General Acute Care Hospital, Children

$1.4M
14Children's Health System Of Texas

Dallas, TX · General Acute Care Hospital Children

$1.2M
15Vhs Childrens Hospital Of Michigan Inc

Detroit, MI · Clinic/Center, Ambulatory Surgical

$1.2M
16State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$1.2M
17Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$1.1M
18Christus Santa Rosa Health Care Corporation

San Antonio, TX · General Acute Care Hospital

$1.1M
191386709871$994K
20Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$978K

Showing top 20 of 3K providers billing this code