92609
HCPCS Procedure Code
HCPCS code 92609 is the #1,123 most-billed Medicaid procedure code, with $39.3M in payments across 595K claims from 2018–2024. The national median cost per claim is $59.78.
Total Paid
$39.3M
0.00% of all spending
Total Claims
595K
Providers
299
Avg Cost/Claim
$66
National Cost Distribution
How much do providers bill per claim for 92609? Based on 289 providers billing this code nationally.
Median
$59.78
Average
$68.31
Std Dev
$54.79
Max
$400.26
Percentile Distribution (Cost per Claim)
50% of providers bill between $42.98 and $76.99 per claim for this code.
90% bill between $28.91 and $93.53.
Top 1% bill above $358.96.
About This Procedure
HCPCS code 92609 was billed by 299 providers across 595K claims, totaling $39.3M in Medicaid payments from 2018–2024. This code was used for 190K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$59.78
Providers Billing
289
National Spending
$39.3M
Avg/Median Ratio
1.14×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 92609
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1285880914 | $2.7M |
| 2 | 1730194432 | $2.0M |
| 3 | 1831316595 | $1.6M |
| 4 | 1902067812 | $1.6M |
| 5 | 1972659399 | $1.4M |
| 6 | Autism Opportunities Foundation Minnetonka, MN · Psychologist | $1.2M |
| 7 | 1033532403 | $1.1M |
| 8 | 1740308600 | $1.1M |
| 9 | 1215397666 | $1.1M |
| 10 | 1336245828 | $969K |
| 11 | 1316163884 | $921K |
| 12 | 1417454612 | $905K |
| 13 | 1306101803 | $856K |
| 14 | 1487815676 | $783K |
| 15 | 1609541283 | $694K |
| 16 | 1386988723 | $601K |
| 17 | 1689656183 | $525K |
| 18 | 1346739562 | $495K |
| 19 | 1376611129 | $479K |
| 20 | 1134152861 | $470K |
Showing top 20 of 299 providers billing this code