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#8018 of 11K

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)

p10
$20.39
p25
$20.64
Median
$21.04
p75
$83.53
p90
$121.02
p95
$133.52
p99
$143.52

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.