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#5103 of 11K

93290

HCPCS Procedure Code

HCPCS code 93290 is the #5,103 most-billed Medicaid procedure code, with $290K in payments across 26K claims from 2018–2024. The national median cost per claim is $11.15. Costs vary widely — the 90th percentile is $31.06 per claim, 2.8× the median.

Total Paid

$290K

0.00% of all spending

Total Claims

26K

Providers

113

Avg Cost/Claim

$11

National Cost Distribution

How much do providers bill per claim for 93290? Based on 109 providers billing this code nationally.

Median

$11.15

Average

$15.65

Std Dev

$16.02

Max

$127.59

Percentile Distribution (Cost per Claim)

p10
$3.79
p25
$5.79
Median
$11.15
p75
$21.05
p90
$31.06
p95
$43.34
p99
$56.92

50% of providers bill between $5.79 and $21.05 per claim for this code.

90% bill between $3.79 and $31.06.

Top 1% bill above $56.92.

About This Procedure

HCPCS code 93290 was billed by 113 providers across 26K claims, totaling $290K in Medicaid payments from 2018–2024. This code was used for 23K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.15

Providers Billing

109

National Spending

$290K

Avg/Median Ratio

1.40×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 93290

#ProviderTotal Paid
11437569969$37K
21831248236$28K
31770619264$18K
41588748115$15K
5Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$12K
61174842181$12K
71477694859$12K
81417112939$11K
9Cardiovascular Institute Of San Diego Inc

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

$10K
101700821519$9K
111972800399$9K
12Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$8K
131821280744$7K
141194789818$7K
151205898525$5K
161326677188$5K
171376687483$5K
181750565842$5K
191912122631$4K
201750542916$3K

Showing top 20 of 113 providers billing this code