93264
HCPCS Procedure Code
HCPCS code 93264 is the #6,508 most-billed Medicaid procedure code, with $60K in payments across 4,774 claims from 2018–2024. The national median cost per claim is $12.59.
Total Paid
$60K
0.00% of all spending
Total Claims
4,774
Providers
16
Avg Cost/Claim
$13
National Cost Distribution
How much do providers bill per claim for 93264? Based on 15 providers billing this code nationally.
Median
$12.59
Average
$14.00
Std Dev
$5.70
Max
$24.88
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.63 and $16.54 per claim for this code.
90% bill between $8.87 and $23.07.
Top 1% bill above $24.64.
About This Procedure
HCPCS code 93264 was billed by 16 providers across 4,774 claims, totaling $60K in Medicaid payments from 2018–2024. This code was used for 4,462 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.59
Providers Billing
15
National Spending
$60K
Avg/Median Ratio
1.11×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 93264
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1417902925 | $15K |
| 2 | 1669499414 | $9K |
| 3 | 1548205909 | $8K |
| 4 | 1407806391 | $7K |
| 5 | Yale University New Haven, CT · Internal Medicine | $6K |
| 6 | 1023257441 | $4K |
| 7 | Aurora Medical Group, Inc. Milwaukee, WI · Internal Medicine | $3K |
| 8 | 1104859172 | $3K |
| 9 | 1679742480 | $1K |
| 10 | 1588132203 | $1K |
| 11 | 1023584216 | $784 |
| 12 | 1679707632 | $299 |
| 13 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $276 |
| 14 | 1003882812 | $141 |
| 15 | 1154636066 | $128 |
| 16 | 1477554814 | $0 |
Showing top 16 of 16 providers billing this code