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#922 of 11K

93304

HCPCS Procedure Code

HCPCS code 93304 is the #922 most-billed Medicaid procedure code, with $58.1M in payments across 520K claims from 2018–2024. The national median cost per claim is $54.29. Costs vary widely — the 90th percentile is $286.02 per claim, 5.3× the median.

Total Paid

$58.1M

0.01% of all spending

Total Claims

520K

Providers

422

Avg Cost/Claim

$112

National Cost Distribution

How much do providers bill per claim for 93304? Based on 418 providers billing this code nationally.

Median

$54.29

Average

$113.29

Std Dev

$156.19

Max

$1,734.72

Percentile Distribution (Cost per Claim)

p10
$22.08
p25
$32.23
Median
$54.29
p75
$119.24
p90
$286.02
p95
$409.17
p99
$715.18

50% of providers bill between $32.23 and $119.24 per claim for this code.

90% bill between $22.08 and $286.02.

Top 1% bill above $715.18.

About This Procedure

HCPCS code 93304 was billed by 422 providers across 520K claims, totaling $58.1M in Medicaid payments from 2018–2024. This code was used for 458K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$54.29

Providers Billing

418

National Spending

$58.1M

Avg/Median Ratio

2.09×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 93304

#ProviderTotal Paid
1Childrens Hospital Of The Kings Daughters Inc

Norfolk, VA · Social Worker, Clinical

$3.9M
21427295948$3.5M
31235148727$2.8M
4Seattle Children's Hospital

Seattle, WA · Prosthetic/Orthotic Supplier

$2.2M
5Connecticut Children's Medical Center

Hartford, CT · General Acute Care Hospital, Children

$1.9M
6Southern Baptist Hospital Of Florida Inc

Jacksonville, FL · General Acute Care Hospital

$1.9M
7University Of Kentucky

Lexington, KY · General Acute Care Hospital

$1.7M
8State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$1.6M
91437555265$1.5M
10Childrens Hospital Of Philadelphia

Philadelphia, PA · General Acute Care Hospital Children

$1.2M
111093024101$1.1M
12Children's Hospital Medical Center Of Akron

Akron, OH · General Acute Care Hospital Children

$1.0M
131275988321$997K
141508266347$968K
151699874248$920K
16Driscoll Childrens Hospital

Corpus Christi, TX · Speech-Language Pathologist,

$843K
17Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$769K
18The Children's Mercy Hospital

Kansas City, MO · General Acute Care Hospital Children

$743K
19Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$739K
201376614016$728K

Showing top 20 of 422 providers billing this code