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#2631 of 11K

93227

HCPCS Procedure Code

HCPCS code 93227 is the #2,631 most-billed Medicaid procedure code, with $4.5M in payments across 206K claims from 2018–2024. The national median cost per claim is $18.60.

Total Paid

$4.5M

0.00% of all spending

Total Claims

206K

Providers

619

Avg Cost/Claim

$22

National Cost Distribution

How much do providers bill per claim for 93227? Based on 612 providers billing this code nationally.

Median

$18.60

Average

$20.91

Std Dev

$11.98

Max

$81.51

Percentile Distribution (Cost per Claim)

p10
$9.69
p25
$13.11
Median
$18.60
p75
$25.97
p90
$35.64
p95
$43.08
p99
$62.47

50% of providers bill between $13.11 and $25.97 per claim for this code.

90% bill between $9.69 and $35.64.

Top 1% bill above $62.47.

About This Procedure

HCPCS code 93227 was billed by 619 providers across 206K claims, totaling $4.5M in Medicaid payments from 2018–2024. This code was used for 189K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$18.60

Providers Billing

612

National Spending

$4.5M

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 93227

#ProviderTotal Paid
1Texas Children's Physician Group

Houston, TX · Pediatrics

$333K
21295165645$261K
31669617197$121K
41144556333$116K
51063419943$108K
61063678852$107K
71043535503$97K
8Geisinger Clinic

Danville, PA · Surgery

$87K
91639264682$80K
101336533041$75K
111710947759$75K
12University Physicians Incorporated

Aurora, CO · Anesthesiology

$70K
131760441141$56K
14Montefiore Medical Center

Bronx, NY · Anesthesiology

$55K
151477554814$53K
161134484892$53K
171801869250$51K
181770532798$49K
191679583272$48K
20Phoenix Children's Hospital

Phoenix, AZ · Pediatrics

$44K

Showing top 20 of 619 providers billing this code