Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#213 of 11K

93005

Electrocardiogram, tracing only, without interpretation

Electrocardiogram, tracing only, without interpretation is the #213 most-billed Medicaid procedure code, with $733.4M in payments across 50.1M claims from 2018–2024. The national median cost per claim is $7.50. Costs vary widely — the 90th percentile is $52.03 per claim, 6.9× the median.

Total Paid

$733.4M

0.07% of all spending

Total Claims

50.1M

Providers

6K

Avg Cost/Claim

$15

National Cost Distribution

How much do providers bill per claim for 93005? Based on 6K providers billing this code nationally.

Median

$7.50

Average

$17.48

Std Dev

$26.36

Max

$375.09

Percentile Distribution (Cost per Claim)

p10
$0.91
p25
$2.37
Median
$7.50
p75
$20.95
p90
$52.03
p95
$67.28
p99
$114.76

50% of providers bill between $2.37 and $20.95 per claim for this code.

90% bill between $0.91 and $52.03.

Top 1% bill above $114.76.

About This Procedure

HCPCS code 93005 (Electrocardiogram, tracing only, without interpretation) was billed by 6K providers across 50.1M claims, totaling $733.4M in Medicaid payments from 2018–2024. This code was used for 42.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.50

Providers Billing

6K

National Spending

$733.4M

Avg/Median Ratio

2.33×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 93005

#ProviderTotal Paid
1Modivcare Solutions, Llc

Denver, CO · Transportation Broker

$10.8M
2Community Health Network, Inc

Indianapolis, IN · General Acute Care Hospital

$6.8M
3The Health And Hospital Corporation Of Marion County

Indianapolis, IN · Psychiatric Unit

$6.4M
4University Of Kentucky

Lexington, KY · General Acute Care Hospital

$6.4M
5Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$5.9M
6Our Lady Of The Lake Hospital Inc.

Baton Rouge, LA · General Acute Care Hospital

$4.9M
7Grossmont Hospital Corporation

La Mesa, CA · General Acute Care Hospital

$4.3M
8Texas Children's Hospital

Houston, TX · General Acute Care Hospital Children

$4.2M
91366407603$4.2M
101144266024$4.1M
11The Children's Mercy Hospital

Kansas City, MO · General Acute Care Hospital Children

$4.1M
12Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$4.0M
13Truman Medical Center, Incorporated

Kansas City, MO · General Acute Care Hospital

$3.9M
14Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$3.8M
15Sharp Chula Vista Medical Center

Chula Vista, CA · General Acute Care Hospital

$3.6M
16Newark Beth Israel Medical Center Inc

Newark, NJ · General Acute Care Hospital

$3.3M
17Providence Health & Services Washington

Anchorage, AK · General Acute Care Hospital

$3.1M
18Sharp Memorial Hospital

San Diego, CA · General Acute Care Hospital, Women

$3.1M
19Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$2.7M
201467504555$2.7M

Showing top 20 of 6K providers billing this code