93315
HCPCS Procedure Code
HCPCS code 93315 is the #6,274 most-billed Medicaid procedure code, with $79K in payments across 486 claims from 2018–2024. The national median cost per claim is $78.83. Costs vary widely — the 90th percentile is $163.03 per claim, 2.1× the median.
Total Paid
$79K
0.00% of all spending
Total Claims
486
Providers
5
Avg Cost/Claim
$162
National Cost Distribution
How much do providers bill per claim for 93315? Based on 5 providers billing this code nationally.
Median
$78.83
Average
$96.24
Std Dev
$66.05
Max
$202.04
Percentile Distribution (Cost per Claim)
50% of providers bill between $72.53 and $104.52 per claim for this code.
90% bill between $42.98 and $163.03.
Top 1% bill above $198.14.
About This Procedure
HCPCS code 93315 was billed by 5 providers across 486 claims, totaling $79K in Medicaid payments from 2018–2024. This code was used for 305 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$78.83
Providers Billing
5
National Spending
$79K
Avg/Median Ratio
1.22×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 93315
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1801869250 | $66K |
| 2 | 1881624807 | $6K |
| 3 | 1811920549 | $5K |
| 4 | 1861439952 | $1K |
| 5 | 1881632818 | $303 |
Showing top 5 of 5 providers billing this code