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#3478 of 11K

93280

HCPCS Procedure Code

HCPCS code 93280 is the #3,478 most-billed Medicaid procedure code, with $1.6M in payments across 97K claims from 2018–2024. The national median cost per claim is $14.11. Costs vary widely — the 90th percentile is $36.06 per claim, 2.6× the median.

Total Paid

$1.6M

0.00% of all spending

Total Claims

97K

Providers

478

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for 93280? Based on 468 providers billing this code nationally.

Median

$14.11

Average

$20.51

Std Dev

$30.24

Max

$321.63

Percentile Distribution (Cost per Claim)

p10
$4.73
p25
$8.24
Median
$14.11
p75
$22.90
p90
$36.06
p95
$47.07
p99
$188.01

50% of providers bill between $8.24 and $22.90 per claim for this code.

90% bill between $4.73 and $36.06.

Top 1% bill above $188.01.

About This Procedure

HCPCS code 93280 was billed by 478 providers across 97K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 90K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.11

Providers Billing

468

National Spending

$1.6M

Avg/Median Ratio

1.45×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 93280

#ProviderTotal Paid
1Cardiovascular Institute Of San Diego Inc

Chula Vista, CA · Internal Medicine, Advanced Heart Failure and Transplant Cardiology

$82K
21831248236$54K
3Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$52K
41740225838$46K
5Southern California Permanente Medical Group

Bellflower, CA · Health Maintenance Organization

$36K
61205898525$34K
71649570425$33K
81992744114$32K
9Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$29K
10State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$27K
11Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$24K
12Ahs Hospital Corp.

Morristown, NJ · General Acute Care Hospital

$24K
13Orlando Health Inc.

Orlando, FL · General Acute Care Hospital

$23K
141376575035$22K
151770619264$20K
16Stanford Health Care

Stanford, CA · General Acute Care Hospital

$20K
171093767063$20K
181457643306$19K
19Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$17K
20Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$17K

Showing top 20 of 478 providers billing this code