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#2594 of 11K

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)

p10
$19.35
p25
$78.24
Median
$112.16
p75
$221.82
p90
$340.23
p95
$1,227.95
p99
$2,546.01

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

#ProviderTotal Paid
11750613329$4.5M
2Southern California Permanente Medical Group

Riverside, CA · Health Maintenance Organization

$65K
31932261716$38K
41497462659$28K
51134537665$10K
6Presbyterian Healthcare Services

Albuquerque, NM · Surgery

$9K
71275581894$6K
8Medstar Medical Group Ii Llc

Baltimore, MD · General Practice

$4K
91669448882$3K
101972800399$3K
111871607762$3K
121538402458$925
13Lsu Health Sciences Center Shreveport Faculty Group Practice

Shreveport, LA · Oral & Maxillofacial Surgery

$640
141225034234$194
15Southern California Permanente Medical Group

Anaheim, CA · Health Maintenance Organization

$0

Showing top 15 of 15 providers billing this code