Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#1655 of 11K

93271

HCPCS Procedure Code

HCPCS code 93271 is the #1,655 most-billed Medicaid procedure code, with $16.8M in payments across 293K claims from 2018–2024. The national median cost per claim is $63.20. Costs vary widely — the 90th percentile is $167.72 per claim, 2.7× the median.

Total Paid

$16.8M

0.00% of all spending

Total Claims

293K

Providers

85

Avg Cost/Claim

$57

National Cost Distribution

How much do providers bill per claim for 93271? Based on 83 providers billing this code nationally.

Median

$63.20

Average

$80.77

Std Dev

$66.30

Max

$329.03

Percentile Distribution (Cost per Claim)

p10
$24.80
p25
$43.87
Median
$63.20
p75
$89.27
p90
$167.72
p95
$243.24
p99
$289.07

50% of providers bill between $43.87 and $89.27 per claim for this code.

90% bill between $24.80 and $167.72.

Top 1% bill above $289.07.

About This Procedure

HCPCS code 93271 was billed by 85 providers across 293K claims, totaling $16.8M in Medicaid payments from 2018–2024. This code was used for 270K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$63.20

Providers Billing

83

National Spending

$16.8M

Avg/Median Ratio

1.28×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 93271

#ProviderTotal Paid
11790869402$6.2M
21063414258$5.0M
31255367843$1.2M
41255761664$493K
51588664940$440K
61306274634$392K
71629171079$383K
8Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$321K
91265548796$284K
101205840204$212K
11West Virginia University Hospitals, Inc

Morgantown, WV · Clinical Medical Laboratory

$173K
12Arrowhead Regional Medical Center

Colton, CA · General Acute Care Hospital

$129K
131407273873$128K
141902348733$103K
151053491084$91K
16Seattle Children's Hospital

Seattle, WA · Prosthetic/Orthotic Supplier

$80K
171063403731$70K
18Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$66K
191053373480$61K
201114948445$57K

Showing top 20 of 85 providers billing this code