91320
HCPCS Procedure Code
HCPCS code 91320 is the #1,172 most-billed Medicaid procedure code, with $35.7M in payments across 413K claims from 2018–2024. The national median cost per claim is $72.65.
Total Paid
$35.7M
0.00% of all spending
Total Claims
413K
Providers
2K
Avg Cost/Claim
$86
National Cost Distribution
How much do providers bill per claim for 91320? Based on 1K providers billing this code nationally.
Median
$72.65
Average
$68.51
Std Dev
$53.06
Max
$642.53
Percentile Distribution (Cost per Claim)
50% of providers bill between $20.90 and $105.63 per claim for this code.
90% bill between $4.10 and $123.39.
Top 1% bill above $203.26.
About This Procedure
HCPCS code 91320 was billed by 2K providers across 413K claims, totaling $35.7M in Medicaid payments from 2018–2024. This code was used for 392K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$72.65
Providers Billing
1K
National Spending
$35.7M
Avg/Median Ratio
0.94×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 91320
| # | Provider | Total Paid |
|---|---|---|
| 1 | Permanente Medical Group Inc Stockton, CA · Anesthesiology | $4.5M |
| 2 | Permanente Medical Group Inc Richmond, CA · Internal Medicine | $2.6M |
| 3 | Southern California Permanente Medical Group San Diego, CA · Health Maintenance Organization | $2.1M |
| 4 | Southern California Permanente Medical Group Los Angeles, CA · Health Maintenance Organization | $2.1M |
| 5 | Southern California Permanente Medical Group Anaheim, CA · Health Maintenance Organization | $1.4M |
| 6 | Southern California Permanente Medical Group Fontana, CA · Health Maintenance Organization | $1.3M |
| 7 | Southern California Permanente Medical Group Panorama City, CA · Health Maintenance Organization | $1.3M |
| 8 | Kaiser Foundation Health Plan Of The Northwest Portland, OR · General Practice | $1.1M |
| 9 | Southern California Permanente Medical Group Los Angeles, CA · Health Maintenance Organization | $1.0M |
| 10 | Permanente Medical Group Inc Santa Clara, CA · Anesthesiology | $943K |
| 11 | Southern California Permanente Medical Group Riverside, CA · Health Maintenance Organization | $901K |
| 12 | 1841373800 | $715K |
| 13 | 1952333478 | $677K |
| 14 | Permanente Medical Group Inc Vallejo, CA · Anesthesiology | $619K |
| 15 | 1982863783 | $532K |
| 16 | 1639252604 | $463K |
| 17 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $320K |
| 18 | 1861424376 | $315K |
| 19 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $313K |
| 20 | Group Health Plan, Inc. Minneapolis, MN · Clinic/Center, Multi-Specialty | $278K |
Showing top 20 of 2K providers billing this code