93245
HCPCS Procedure Code
HCPCS code 93245 is the #2,594 most-billed Medicaid procedure code, with $4.7M in payments across 2,802 claims from 2018–2024. The national median cost per claim is $112.16. Costs vary widely — the 90th percentile is $340.23 per claim, 3.0× the median.
Total Paid
$4.7M
0.00% of all spending
Total Claims
2,802
Providers
15
Avg Cost/Claim
$2K
National Cost Distribution
How much do providers bill per claim for 93245? Based on 14 providers billing this code nationally.
Median
$112.16
Average
$337.72
Std Dev
$738.16
Max
$2,875.52
Percentile Distribution (Cost per Claim)
50% of providers bill between $78.24 and $221.82 per claim for this code.
90% bill between $19.35 and $340.23.
Top 1% bill above $2,546.01.
About This Procedure
HCPCS code 93245 was billed by 15 providers across 2,802 claims, totaling $4.7M in Medicaid payments from 2018–2024. This code was used for 2,777 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$112.16
Providers Billing
14
National Spending
$4.7M
Avg/Median Ratio
3.01×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 93245
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1750613329 | $4.5M |
| 2 | Southern California Permanente Medical Group Riverside, CA · Health Maintenance Organization | $65K |
| 3 | 1932261716 | $38K |
| 4 | 1497462659 | $28K |
| 5 | 1134537665 | $10K |
| 6 | Presbyterian Healthcare Services Albuquerque, NM · Surgery | $9K |
| 7 | 1275581894 | $6K |
| 8 | Medstar Medical Group Ii Llc Baltimore, MD · General Practice | $4K |
| 9 | 1669448882 | $3K |
| 10 | 1972800399 | $3K |
| 11 | 1871607762 | $3K |
| 12 | 1538402458 | $925 |
| 13 | Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA · Oral & Maxillofacial Surgery | $640 |
| 14 | 1225034234 | $194 |
| 15 | Southern California Permanente Medical Group Anaheim, CA · Health Maintenance Organization | $0 |
Showing top 15 of 15 providers billing this code