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#6940 of 11K

93278

HCPCS Procedure Code

HCPCS code 93278 is the #6,940 most-billed Medicaid procedure code, with $36K in payments across 3,626 claims from 2018–2024. The national median cost per claim is $13.70.

Total Paid

$36K

0.00% of all spending

Total Claims

3,626

Providers

2

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for 93278? Based on 2 providers billing this code nationally.

Median

$13.70

Average

$13.70

Std Dev

$5.52

Max

$17.61

Percentile Distribution (Cost per Claim)

p10
$10.58
p25
$11.75
Median
$13.70
p75
$15.65
p90
$16.83
p95
$17.22
p99
$17.53

50% of providers bill between $11.75 and $15.65 per claim for this code.

90% bill between $10.58 and $16.83.

Top 1% bill above $17.53.

About This Procedure

HCPCS code 93278 was billed by 2 providers across 3,626 claims, totaling $36K in Medicaid payments from 2018–2024. This code was used for 847 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.70

Providers Billing

2

National Spending

$36K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.