#2756 of 11K

93268

HCPCS Procedure Code

HCPCS code 93268 is the #2,756 most-billed Medicaid procedure code, with $3.8M in payments across 25K claims from 2018–2024. The national median cost per claim is $133.50.

Total Paid

$3.8M

0.00% of all spending

Total Claims

25K

Providers

110

Avg Cost/Claim

$155

National Cost Distribution

How much do providers bill per claim for 93268? Based on 109 providers billing this code nationally.

Median

$133.50

Average

$132.47

Std Dev

$83.15

Max

$577.34

Percentile Distribution (Cost per Claim)

p10

$34.78

p25

$83.72

Median

$133.50

p75

$168.85

p90

$189.01

p95

$278.04

p99

$362.76

50% of providers bill between $83.72 and $168.85 per claim for this code.

90% bill between $34.78 and $189.01.

Top 1% bill above $362.76.

About This Procedure

HCPCS code 93268 was billed by 110 providers across 25K claims, totaling $3.8M in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$133.50

Providers Billing

109

National Spending

$3.8M

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 93268

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1497168546	$917K	$161.88	1.2× median	Above Median
2	1194721043	$283K	$167.74	1.3× median	Above Median
3	1073962528	$232K	$135.17	1.0× median	Above Median
4	1225703556	$212K	$131.93	1.0× median	Below Median
5	1386091486	$205K	$174.94	1.3× median	Above 75th
6	1679188189	$168K	$177.10	1.3× median	Above 75th
7	1952569527	$153K	$169.41	1.3× median	Above 75th
8	Southeast Alaska Regional Health Consortium Sitka, AK · Podiatrist	$147K	$577.34	4.3× median	Top 1%
9	1124589338	$144K	$175.08	1.3× median	Above 75th
10	1114297868	$138K	$185.06	1.4× median	Above 75th
11	Optum Medical Care Of New Jersey Pc Secaucus, NJ · Durable Medical Equipment & Medical Supplies	$135K	$216.61	1.6× median	Top 10%
12	1871905422	$112K	$154.64	1.2× median	Above Median
13	1730402645	$105K	$122.29	0.9× median	Below Median
14	1619073046	$97K	$128.60	1.0× median	Below Median
15	1760133201	$69K	$137.30	1.0× median	Above Median
16	Southern California Permanente Medical Group Anaheim, CA · Health Maintenance Organization	$67K	$95.40	0.7× median	Below Median
17	Southern California Permanente Medical Group Panorama City, CA · Health Maintenance Organization	$67K	$364.42	2.7× median	Top 1%
18	Permanente Medical Group Inc Stockton, CA · Anesthesiology	$48K	$343.76	2.6× median	Top 10%
19	1003802547	$44K	$211.16	1.6× median	Top 10%
20	1245795087	$41K	$170.29	1.3× median	Above 75th

Showing top 20 of 110 providers billing this code

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93271$16.8M 93270$2.1M 93272$1.4M 93264$60K 93278$36K

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