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#7259 of 11K

91313

HCPCS Procedure Code

HCPCS code 91313 is the #7,259 most-billed Medicaid procedure code, with $23K in payments across 68K claims from 2018–2024. The national median cost per claim is $0.00.

Total Paid

$23K

0.00% of all spending

Total Claims

68K

Providers

648

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 91313? Based on 139 providers billing this code nationally.

Median

$0.00

Average

$0.95

Std Dev

$3.94

Max

$36.60

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.00
p75
$0.02
p90
$0.81
p95
$6.91
p99
$14.68

50% of providers bill between $0.00 and $0.02 per claim for this code.

90% bill between $0.00 and $0.81.

Top 1% bill above $14.68.

About This Procedure

HCPCS code 91313 was billed by 648 providers across 68K claims, totaling $23K in Medicaid payments from 2018–2024. This code was used for 59K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.00

Providers Billing

139

National Spending

$23K

Top Providers Billing This Code

Ranked by total Medicaid payments for 91313

#ProviderTotal Paid
11528128899$8K
21598953721$5K
3Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$4K
41144203498$2K
5Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$1K
61629124045$988
7Community Health Center Inc

Middletown, CT · Counselor, Addiction (Substance Use Disorder)

$847
81275196222$840
91407881691$340
101841226347$251
111821023714$114
121043469042$58
131154396711$49
141437474970$40
151619938479$36
161063433589$32
171770253452$32
181922266386$26
191457349375$22
201447785316$20

Showing top 20 of 648 providers billing this code