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#3243 of 11K

93228

HCPCS Procedure Code

HCPCS code 93228 is the #3,243 most-billed Medicaid procedure code, with $2.2M in payments across 122K claims from 2018–2024. The national median cost per claim is $14.08.

Total Paid

$2.2M

0.00% of all spending

Total Claims

122K

Providers

360

Avg Cost/Claim

$18

National Cost Distribution

How much do providers bill per claim for 93228? Based on 355 providers billing this code nationally.

Median

$14.08

Average

$15.73

Std Dev

$26.16

Max

$481.42

Percentile Distribution (Cost per Claim)

p10
$4.07
p25
$8.66
Median
$14.08
p75
$19.00
p90
$23.74
p95
$29.25
p99
$41.10

50% of providers bill between $8.66 and $19.00 per claim for this code.

90% bill between $4.07 and $23.74.

Top 1% bill above $41.10.

About This Procedure

HCPCS code 93228 was billed by 360 providers across 122K claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 119K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.08

Providers Billing

355

National Spending

$2.2M

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 93228

#ProviderTotal Paid
1Cardiovascular Institute Of San Diego Inc

Chula Vista, CA · Internal Medicine, Advanced Heart Failure and Transplant Cardiology

$522K
21760626477$170K
31164627295$94K
41659387934$45K
51306371257$43K
61225380603$32K
71730137480$31K
81861949828$30K
91629520986$30K
101992939565$28K
111811214489$27K
12Optum Medical Care Of New Jersey Pc

Secaucus, NJ · Durable Medical Equipment & Medical Supplies

$25K
131538252457$25K
141619073046$24K
151124589338$23K
16University Physicians Incorporated

Aurora, CO · Anesthesiology

$23K
171023237518$23K
181003547340$21K
19Montefiore Medical Center

Bronx, NY · Anesthesiology

$20K
201730440538$19K

Showing top 20 of 360 providers billing this code