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#1868 of 11K

91322

HCPCS Procedure Code

HCPCS code 91322 is the #1,868 most-billed Medicaid procedure code, with $12.5M in payments across 217K claims from 2018–2024. The national median cost per claim is $76.28.

Total Paid

$12.5M

0.00% of all spending

Total Claims

217K

Providers

2K

Avg Cost/Claim

$57

National Cost Distribution

How much do providers bill per claim for 91322? Based on 1K providers billing this code nationally.

Median

$76.28

Average

$73.33

Std Dev

$59.69

Max

$654.00

Percentile Distribution (Cost per Claim)

p10
$4.61
p25
$21.43
Median
$76.28
p75
$114.37
p90
$137.34
p95
$145.92
p99
$181.98

50% of providers bill between $21.43 and $114.37 per claim for this code.

90% bill between $4.61 and $137.34.

Top 1% bill above $181.98.

About This Procedure

HCPCS code 91322 was billed by 2K providers across 217K claims, totaling $12.5M in Medicaid payments from 2018–2024. This code was used for 201K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$76.28

Providers Billing

1K

National Spending

$12.5M

Avg/Median Ratio

0.96×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 91322

#ProviderTotal Paid
1Cambridge Public Health Commission

Cambridge, MA · General Acute Care Hospital

$527K
2Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$420K
31831133693$340K
4Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$320K
51508012527$296K
6Richard Bone

Chicago, IL · Internal Medicine, Gastroenterology

$290K
7The Arizona Partnership For Immunization

Phoenix, AZ · Local Education Agency (LEA)

$282K
81487925665$258K
9Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$249K
10Permanente Medical Group Inc

Stockton, CA · Anesthesiology

$232K
11Group Health Plan, Inc.

Minneapolis, MN · Clinic/Center, Multi-Specialty

$227K
12Aurora Medical Group, Inc.

Milwaukee, WI · Internal Medicine

$224K
13Homeland Health Specialists Inc

Minneapolis, MN · Registered Nurse, Community Health

$221K
141740570696$151K
151477569838$147K
16The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$139K
171922105154$114K
18Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$112K
191821023714$108K
201568787448$104K

Showing top 20 of 2K providers billing this code