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#3006 of 11K

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)

p10
$0.31
p25
$1.10
Median
$2.53
p75
$4.50
p90
$7.80
p95
$9.31
p99
$14.00

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

#ProviderTotal Paid
11700154226$173K
21063526960$125K
31497790539$100K
41285854026$97K
51558625392$88K
61265810006$82K
71780626069$81K
81669576831$76K
91841679289$76K
101902855992$68K
111154379394$58K
121669406831$58K
131396851580$56K
141699716100$54K
151679907869$53K
161750318119$49K
171225285810$44K
181124574520$41K
191376573378$37K
201982657474$37K

Showing top 20 of 710 providers billing this code