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#2757 of 11K

93294

HCPCS Procedure Code

HCPCS code 93294 is the #2,757 most-billed Medicaid procedure code, with $3.8M in payments across 357K claims from 2018–2024. The national median cost per claim is $9.45.

Total Paid

$3.8M

0.00% of all spending

Total Claims

357K

Providers

937

Avg Cost/Claim

$11

National Cost Distribution

How much do providers bill per claim for 93294? Based on 923 providers billing this code nationally.

Median

$9.45

Average

$11.39

Std Dev

$9.70

Max

$98.00

Percentile Distribution (Cost per Claim)

p10
$4.34
p25
$6.28
Median
$9.45
p75
$14.13
p90
$18.84
p95
$23.64
p99
$46.14

50% of providers bill between $6.28 and $14.13 per claim for this code.

90% bill between $4.34 and $18.84.

Top 1% bill above $46.14.

About This Procedure

HCPCS code 93294 was billed by 937 providers across 357K claims, totaling $3.8M in Medicaid payments from 2018–2024. This code was used for 335K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.45

Providers Billing

923

National Spending

$3.8M

Avg/Median Ratio

1.21×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 93294

#ProviderTotal Paid
11043212665$151K
21992744114$82K
31982689113$74K
4Community Physicians Of Indiana Inc

Indianapolis, IN · Internal Medicine

$41K
51972939643$40K
6Southern California Permanente Medical Group

Panorama City, CA · Health Maintenance Organization

$38K
7Hennepin Healthcare System Inc

Minneapolis, MN · General Acute Care Hospital

$36K
81457396541$35K
91447585153$35K
10Group Health Plan, Inc.

Minneapolis, MN · Clinic/Center, Multi-Specialty

$34K
111801874573$33K
121740225838$33K
131093767063$33K
141578545273$31K
15Vanderbilt University Medical Center

Nashville, TN · Transplant Surgery

$30K
16Presbyterian Healthcare Services

Albuquerque, NM · Surgery

$28K
171306923495$28K
18Eastern Maine Medical Center

Bangor, ME · General Acute Care Hospital

$27K
191144288416$27K
20Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$27K

Showing top 20 of 937 providers billing this code