93291
HCPCS Procedure Code
HCPCS code 93291 is the #6,157 most-billed Medicaid procedure code, with $89K in payments across 5,633 claims from 2018–2024. The national median cost per claim is $12.31. Costs vary widely — the 90th percentile is $40.62 per claim, 3.3× the median.
Total Paid
$89K
0.00% of all spending
Total Claims
5,633
Providers
37
Avg Cost/Claim
$16
National Cost Distribution
How much do providers bill per claim for 93291? Based on 37 providers billing this code nationally.
Median
$12.31
Average
$19.76
Std Dev
$18.28
Max
$75.33
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.35 and $26.06 per claim for this code.
90% bill between $4.89 and $40.62.
Top 1% bill above $74.08.
About This Procedure
HCPCS code 93291 was billed by 37 providers across 5,633 claims, totaling $89K in Medicaid payments from 2018–2024. This code was used for 5,134 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.31
Providers Billing
37
National Spending
$89K
Avg/Median Ratio
1.61×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 93291
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1912435173 | $20K |
| 2 | St Lukes Roosevelt Hospital Center New York, NY · Case Management | $8K |
| 3 | 1649570425 | $7K |
| 4 | 1750613329 | $6K |
| 5 | 1528673092 | $5K |
| 6 | 1356860357 | $5K |
| 7 | 1841239274 | $4K |
| 8 | University Hospital Newark, NJ · General Acute Care Hospital | $4K |
| 9 | 1831255918 | $3K |
| 10 | 1760626477 | $3K |
| 11 | 1669615233 | $2K |
| 12 | 1366878019 | $2K |
| 13 | 1568632628 | $2K |
| 14 | 1285940411 | $2K |
| 15 | 1952819633 | $2K |
| 16 | St. Barnabas Hospital Bronx, NY · General Acute Care Hospital | $2K |
| 17 | 1760710719 | $2K |
| 18 | Edward W Sparrow Hospital Association Lansing, MI · Rehabilitation, Substance Use Disorder Unit | $1K |
| 19 | 1962464016 | $1K |
| 20 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $1K |
Showing top 20 of 37 providers billing this code