93270
HCPCS Procedure Code
HCPCS code 93270 is the #3,249 most-billed Medicaid procedure code, with $2.1M in payments across 126K claims from 2018–2024. The national median cost per claim is $16.59. Costs vary widely — the 90th percentile is $84.73 per claim, 5.1× the median.
Total Paid
$2.1M
0.00% of all spending
Total Claims
126K
Providers
212
Avg Cost/Claim
$17
National Cost Distribution
How much do providers bill per claim for 93270? Based on 209 providers billing this code nationally.
Median
$16.59
Average
$33.87
Std Dev
$49.56
Max
$423.95
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.82 and $38.13 per claim for this code.
90% bill between $4.91 and $84.73.
Top 1% bill above $234.00.
About This Procedure
HCPCS code 93270 was billed by 212 providers across 126K claims, totaling $2.1M in Medicaid payments from 2018–2024. This code was used for 111K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$16.59
Providers Billing
209
National Spending
$2.1M
Avg/Median Ratio
2.04×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 93270
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1790869402 | $177K |
| 2 | 1063414258 | $150K |
| 3 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $121K |
| 4 | Brockton Hospital, Inc. Brockton, MA · General Acute Care Hospital | $105K |
| 5 | 1598868655 | $95K |
| 6 | Summa Health System Akron, OH · General Acute Care Hospital | $89K |
| 7 | 1407887003 | $80K |
| 8 | 1104859131 | $76K |
| 9 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $70K |
| 10 | 1932411493 | $69K |
| 11 | Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital | $65K |
| 12 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $57K |
| 13 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $50K |
| 14 | Owensboro Health Inc Owensboro, KY · General Acute Care Hospital | $49K |
| 15 | North Shore Medical Center, Inc. Salem, MA · General Acute Care Hospital | $44K |
| 16 | Capital Health System, Inc. Pennington, NJ · General Acute Care Hospital | $43K |
| 17 | University Of Cincinnati Medical Center, Llc Cincinnati, OH · General Acute Care Hospital | $32K |
| 18 | 1255367843 | $30K |
| 19 | 1053373480 | $29K |
| 20 | The Hospital Of Central Connecticut At New Britain General And Bradley New Britain, CT · General Acute Care Hospital | $24K |
Showing top 20 of 212 providers billing this code