93261
HCPCS Procedure Code
HCPCS code 93261 is the #8,018 most-billed Medicaid procedure code, with $7K in payments across 149 claims from 2018–2024. The national median cost per claim is $21.04. Costs vary widely — the 90th percentile is $121.02 per claim, 5.8× the median.
Total Paid
$7K
0.00% of all spending
Total Claims
149
Providers
3
Avg Cost/Claim
$48
National Cost Distribution
How much do providers bill per claim for 93261? Based on 3 providers billing this code nationally.
Median
$21.04
Average
$62.43
Std Dev
$72.39
Max
$146.02
Percentile Distribution (Cost per Claim)
50% of providers bill between $20.64 and $83.53 per claim for this code.
90% bill between $20.39 and $121.02.
Top 1% bill above $143.52.
About This Procedure
HCPCS code 93261 was billed by 3 providers across 149 claims, totaling $7K in Medicaid payments from 2018–2024. This code was used for 127 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$21.04
Providers Billing
3
National Spending
$7K
Avg/Median Ratio
2.97×
Highly skewed — outlier-driven
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.