91037
HCPCS Procedure Code
HCPCS code 91037 is the #5,709 most-billed Medicaid procedure code, with $150K in payments across 3,182 claims from 2018–2024. The national median cost per claim is $45.23. Costs vary widely — the 90th percentile is $178.01 per claim, 3.9× the median.
Total Paid
$150K
0.00% of all spending
Total Claims
3,182
Providers
28
Avg Cost/Claim
$47
National Cost Distribution
How much do providers bill per claim for 91037? Based on 28 providers billing this code nationally.
Median
$45.23
Average
$74.37
Std Dev
$65.44
Max
$225.49
Percentile Distribution (Cost per Claim)
50% of providers bill between $28.42 and $100.13 per claim for this code.
90% bill between $9.60 and $178.01.
Top 1% bill above $222.44.
About This Procedure
HCPCS code 91037 was billed by 28 providers across 3,182 claims, totaling $150K in Medicaid payments from 2018–2024. This code was used for 3,002 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$45.23
Providers Billing
28
National Spending
$150K
Avg/Median Ratio
1.64×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 91037
| # | Provider | Total Paid |
|---|---|---|
| 1 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $86K |
| 2 | 1740231448 | $12K |
| 3 | 1508968751 | $8K |
| 4 | 1730440777 | $7K |
| 5 | 1104906569 | $4K |
| 6 | 1578672184 | $4K |
| 7 | 1306064126 | $3K |
| 8 | The Milton S Hershey Medical Center Hershey, PA · General Acute Care Hospital | $3K |
| 9 | 1700821808 | $3K |
| 10 | 1972523348 | $3K |
| 11 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $2K |
| 12 | 1356390769 | $2K |
| 13 | 1336174366 | $2K |
| 14 | 1023092053 | $2K |
| 15 | 1760552343 | $2K |
| 16 | 1215165485 | $1K |
| 17 | 1336267137 | $1K |
| 18 | Faculty Physicians And Surgeons Of Llusm Redlands, CA · Pediatrics | $1K |
| 19 | 1386682094 | $910 |
| 20 | 1811258510 | $739 |
Showing top 20 of 28 providers billing this code