91034
HCPCS Procedure Code
HCPCS code 91034 is the #5,777 most-billed Medicaid procedure code, with $140K in payments across 769 claims from 2018–2024. The national median cost per claim is $42.15. Costs vary widely — the 90th percentile is $254.15 per claim, 6.0× the median.
Total Paid
$140K
0.00% of all spending
Total Claims
769
Providers
5
Avg Cost/Claim
$182
National Cost Distribution
How much do providers bill per claim for 91034? Based on 5 providers billing this code nationally.
Median
$42.15
Average
$112.72
Std Dev
$126.55
Max
$308.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $26.66 and $173.37 per claim for this code.
90% bill between $18.73 and $254.15.
Top 1% bill above $302.62.
About This Procedure
HCPCS code 91034 was billed by 5 providers across 769 claims, totaling $140K in Medicaid payments from 2018–2024. This code was used for 753 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$42.15
Providers Billing
5
National Spending
$140K
Avg/Median Ratio
2.67×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 91034
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Washington Seattle, WA · Clinic/Center, Dental | $102K |
| 2 | Temple University Hospital Inc Philadelphia, PA · General Acute Care Hospital | $31K |
| 3 | 1023041159 | $6K |
| 4 | 1548742489 | $2K |
| 5 | 1629172994 | $161 |
Showing top 5 of 5 providers billing this code