93246
HCPCS Procedure Code
HCPCS code 93246 is the #3,506 most-billed Medicaid procedure code, with $1.6M in payments across 63K claims from 2018–2024. The national median cost per claim is $12.84. Costs vary widely — the 90th percentile is $61.60 per claim, 4.8× the median.
Total Paid
$1.6M
0.00% of all spending
Total Claims
63K
Providers
279
Avg Cost/Claim
$25
National Cost Distribution
How much do providers bill per claim for 93246? Based on 272 providers billing this code nationally.
Median
$12.84
Average
$26.23
Std Dev
$40.33
Max
$473.26
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.00 and $31.43 per claim for this code.
90% bill between $4.62 and $61.60.
Top 1% bill above $145.85.
About This Procedure
HCPCS code 93246 was billed by 279 providers across 63K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 60K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.84
Providers Billing
272
National Spending
$1.6M
Avg/Median Ratio
2.04×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 93246
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Queens Medical Center Honolulu, HI · Psychiatric Unit | $102K |
| 2 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $95K |
| 3 | Rochester General Hospital Rochester, NY · Dentist, General Practice | $81K |
| 4 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $75K |
| 5 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $66K |
| 6 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $57K |
| 7 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $56K |
| 8 | 1306845557 | $53K |
| 9 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $53K |
| 10 | 1770693939 | $52K |
| 11 | 1306914213 | $40K |
| 12 | 1538244918 | $34K |
| 13 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $29K |
| 14 | Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital | $27K |
| 15 | 1487904546 | $27K |
| 16 | New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine | $26K |
| 17 | University Of Washington Seattle, WA · Clinic/Center, Dental | $23K |
| 18 | 1407887003 | $20K |
| 19 | 1619914785 | $20K |
| 20 | 1356307581 | $20K |
Showing top 20 of 279 providers billing this code