91307
HCPCS Procedure Code
HCPCS code 91307 is the #4,518 most-billed Medicaid procedure code, with $536K in payments across 793K claims from 2018–2024. The national median cost per claim is $0.01. Costs vary widely — the 90th percentile is $2.53 per claim, 253.0× the median.
Total Paid
$536K
0.00% of all spending
Total Claims
793K
Providers
4K
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for 91307? Based on 1K providers billing this code nationally.
Median
$0.01
Average
$3.53
Std Dev
$30.36
Max
$640.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.00 and $0.16 per claim for this code.
90% bill between $0.00 and $2.53.
Top 1% bill above $44.88.
About This Procedure
HCPCS code 91307 was billed by 4K providers across 793K claims, totaling $536K in Medicaid payments from 2018–2024. This code was used for 677K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.01
Providers Billing
1K
National Spending
$536K
Avg/Median Ratio
353.00×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 91307
| # | Provider | Total Paid |
|---|---|---|
| 1 | Alamo Navajo School Board, Inc. Alamo, NM · Clinic/Center, Primary Care | $100K |
| 2 | 1376104125 | $38K |
| 3 | Utah Navajo Health System, Incorporated Montezuma Creek, UT · Family Medicine | $32K |
| 4 | 1740357169 | $32K |
| 5 | 1497812721 | $24K |
| 6 | 1124509948 | $20K |
| 7 | 1548267420 | $16K |
| 8 | 1124509955 | $15K |
| 9 | Cambridge Public Health Commission Cambridge, MA · General Acute Care Hospital | $14K |
| 10 | Southcoast Hospitals Group, Inc New Bedford, MA · General Acute Care Hospital | $14K |
| 11 | 1336245828 | $12K |
| 12 | Cdva Corp Villalba, PR · Health Maintenance Organization | $11K |
| 13 | 1285646455 | $10K |
| 14 | 1790128080 | $9K |
| 15 | 1518219633 | $9K |
| 16 | 1326046467 | $9K |
| 17 | 1255399036 | $8K |
| 18 | 1851300149 | $8K |
| 19 | Lexington Health Inc West Columbia, SC · General Acute Care Hospital | $7K |
| 20 | 1801835970 | $5K |
Showing top 20 of 4K providers billing this code