93321
HCPCS Procedure Code
HCPCS code 93321 is the #1,439 most-billed Medicaid procedure code, with $23.2M in payments across 980K claims from 2018–2024. The national median cost per claim is $9.69. Costs vary widely — the 90th percentile is $50.37 per claim, 5.2× the median.
Total Paid
$23.2M
0.00% of all spending
Total Claims
980K
Providers
851
Avg Cost/Claim
$24
National Cost Distribution
How much do providers bill per claim for 93321? Based on 821 providers billing this code nationally.
Median
$9.69
Average
$23.68
Std Dev
$47.52
Max
$598.64
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.85 and $20.52 per claim for this code.
90% bill between $2.70 and $50.37.
Top 1% bill above $235.18.
About This Procedure
HCPCS code 93321 was billed by 851 providers across 980K claims, totaling $23.2M in Medicaid payments from 2018–2024. This code was used for 865K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.69
Providers Billing
821
National Spending
$23.2M
Avg/Median Ratio
2.44×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 93321
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1235148727 | $1.6M |
| 2 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $1.1M |
| 3 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $988K |
| 4 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $860K |
| 5 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $617K |
| 6 | 1427295948 | $599K |
| 7 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $568K |
| 8 | The Children's Mercy Hospital Kansas City, MO · General Acute Care Hospital Children | $567K |
| 9 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $555K |
| 10 | 1437555265 | $470K |
| 11 | Driscoll Childrens Hospital Corpus Christi, TX · Speech-Language Pathologist, | $468K |
| 12 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $420K |
| 13 | 1376614016 | $416K |
| 14 | 1093024101 | $399K |
| 15 | Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology | $389K |
| 16 | University Of Wisconsin Hospitals And Clinics Authority Madison, WI · General Acute Care Hospital | $337K |
| 17 | 1275988321 | $331K |
| 18 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $319K |
| 19 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $302K |
| 20 | 1508266347 | $285K |
Showing top 20 of 851 providers billing this code