93042
HCPCS Procedure Code
HCPCS code 93042 is the #3,006 most-billed Medicaid procedure code, with $2.8M in payments across 814K claims from 2018–2024. The national median cost per claim is $2.53. Costs vary widely — the 90th percentile is $7.80 per claim, 3.1× the median.
Total Paid
$2.8M
0.00% of all spending
Total Claims
814K
Providers
710
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for 93042? Based on 670 providers billing this code nationally.
Median
$2.53
Average
$3.39
Std Dev
$3.34
Max
$32.81
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.10 and $4.50 per claim for this code.
90% bill between $0.31 and $7.80.
Top 1% bill above $14.00.
About This Procedure
HCPCS code 93042 was billed by 710 providers across 814K claims, totaling $2.8M in Medicaid payments from 2018–2024. This code was used for 685K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.53
Providers Billing
670
National Spending
$2.8M
Avg/Median Ratio
1.34×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 93042
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1700154226 | $173K |
| 2 | 1063526960 | $125K |
| 3 | 1497790539 | $100K |
| 4 | 1285854026 | $97K |
| 5 | 1558625392 | $88K |
| 6 | 1265810006 | $82K |
| 7 | 1780626069 | $81K |
| 8 | 1669576831 | $76K |
| 9 | 1841679289 | $76K |
| 10 | 1902855992 | $68K |
| 11 | 1154379394 | $58K |
| 12 | 1669406831 | $58K |
| 13 | 1396851580 | $56K |
| 14 | 1699716100 | $54K |
| 15 | 1679907869 | $53K |
| 16 | 1750318119 | $49K |
| 17 | 1225285810 | $44K |
| 18 | 1124574520 | $41K |
| 19 | 1376573378 | $37K |
| 20 | 1982657474 | $37K |
Showing top 20 of 710 providers billing this code